Active NPI
Michael Marzella, R.PH.
- Pharmacist
- Brick, NJ
National Provider Identifier
1548438609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI18996
- Practice address
- 64 Brick PLZ
Brick, NJ 08723-4045 - Phone
- (732) 920-6001
- Fax
- (732) 920-8932
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI18996 | NJ | Primary |
Addresses
Primary practice location
64 Brick PLZ
Brick, NJ 08723-4045
Mailing address
2425 Jodi CT
Manasquan, NJ 08736-1132
Phone (732) 223-3498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI18996 | Other | NJ | RPH STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI18996 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Atlantic & Pacific Tea Company Inc | Past | Accepting new patients | |
| Great Atlantic & Pacific Tea Company Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1548438609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 JODI CT",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361132",
"telephone_number": "732-223-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BRICK PLZ",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234045",
"telephone_number": "732-920-6001",
"fax_number": "732-920-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZELLA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI18996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH STATE LICENSE NUMBER",
"identifier": "RI18996",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Ashaki Soyini Ayoola Martin, M.D.
- Jill Kathleen Martinez
- Raiena Martinez
- Samantha Martino, DC
- Stephen J Martino, M.D.
- Shrikrishna Kashinath Mate
- Brian Mathew, DO
- Brittany Matthews, OTR/L
- Hillary Christine Mauger, PT, DPT
- Maurice B. Hill, Jr., D.M.D., and Michael R. Dellarosa, D.M.D., P.a. (Hill and DellaRosa, D.M.D., P.A.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.