NPIMap

Organization Active NPI

Matthew J Marano Jr MD

  • Specialist
  • Roseland, NJ
National Provider Identifier
1598968075
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04054400 Issued in NJ
Legal business name
MATTHEW J MARANO JR MD
Practice address
556 Eagle Rock Ave
Suite 204
Roseland, NJ 07068-1503
Phone
(973) 468-1810
Fax
(973) 467-1873
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Matthew J Marano Jr Jr., MD
Title
Ophthalmologist
Phone
(973) 467-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA04054400 NJ Primary

Addresses

Primary practice location

556 Eagle Rock Ave
Suite 204
Roseland, NJ 07068-1503

Mailing address

PO Box 7198
Bedminster, NJ 07921-7198
Phone (973) 467-1810

Other identifiers 1

IdentifierTypeStateIssuer
1388509MedicaidNJ

National Provider Directory

National Provider Directory

Locations

556 Eagle Rock Ave
Ste 204
Roseland, NJ 07068
Phone (973) 228-2771

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1598968075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7198",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079217198",
            "telephone_number": "973-467-1810",
            "fax_number": "973-467-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVE",
            "address_2": "SUITE 204",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681503",
            "telephone_number": "973-468-1810",
            "fax_number": "973-467-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J MARANO JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "MARANO JR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "973-467-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04054400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.