NPIMap

Organization Active NPI

Maternal Fetal Medicine of Practice Associates, PA

  • Maternal & Fetal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1578613840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
MATERNAL FETAL MEDICINE OF PRACTICE ASSOCIATES, PA
Practice address
100 Madison Ave
Physician Shared Services Box 68
Morristown, NJ 07960-6136
Phone
(973) 971-7185
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Marmora
Title
Director of Finance
Phone
(973) 971-7185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

100 Madison Ave
Physician Shared Services Box 68
Morristown, NJ 07960-6136

Mailing address

PO Box 34608
Newark, NJ 07189-0001
Phone (973) 971-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000235 NJ Part B Supplier - Clinic/Group Practice 6608813860 Receives reassigned benefits from 17 practitioners
Practice locations: Martinsville, NJ; Morristown, NJ; Pompton Plains, NJ; Rockaway, NJ; Summit, NJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

435 South St
Morristown, NJ 07960
Phone (973) 971-4222

435 South St
Ste 360
Morristown, NJ 07960
Phone (973) 971-7200

435 South St
Ste 380
Morristown, NJ 07960
Phone (973) 971-7080

175 High St
#1
Newton, NJ 07860

333 Mount Hope Ave
#1
Rockaway, NJ 07866

333 Mount Hope Ave
Ste 100
Rockaway, NJ 07866

333 Mount Hope Ave
Ste 110
Rockaway, NJ 07866
Phone (973) 895-6602

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578613840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34608",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071890001",
            "telephone_number": "973-971-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "PHYSICIAN SHARED SERVICES BOX 68",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL MEDICINE OF PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARMORA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "973-971-7185"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.