Active NPI
Edmund Marcelo, DO
- Anesthesiology Physician
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB06913500
- Practice address
- 120 Madison Ave
Mount Holly, NJ 08060-2055 - Phone
- (609) 261-1160
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB06913500 | NJ | Primary |
Addresses
Primary practice location
120 Madison Ave
Mount Holly, NJ 08060-2055
Mailing address
PO Box 95000-2130
Phladelphia, PA 19195-2130
Phone (201) 804-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000181 | NJ | Practitioner - Anesthesiology | 9638064959 | Reassigns benefits to 3 organizations |
| I20131119000306 | PA | Practitioner - Anesthesiology | 9638064959 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664
840 Walnut St
Philadelphia, PA 19107-5109
Phone (267) 322-7700
Hospital & facility affiliations
- Wills Eye Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Anesthesia Consultants, PC | Anesthesiology | Current | Accepting new patients |
| Society Hill Anesthesia Consultants of New Jersey, PC | Anesthesiology | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| West Jersey Anesthesia Associate PA | Anesthesiology | Current | Accepting new patients |
| Liberty Anesthesia, PC | Anesthesiology | Past | Accepting new patients |
| Regional Gastroenterology Associates of Lancaster, LTD. | Past | Accepting new patients |
Locations
408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
140 Mount Holly by Pass
Ste 5
Lumberton, NJ 08048
Phone (609) 267-1555
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
Anesthesiology, PA
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
Anesthesiology, NJ
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
Anesthesiology, NJ
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1609861947
Anesthesiology, NJ
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Philadelphia, PA
- NPI 1881899284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1679519359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2130",
"city": "PHLADELPHIA",
"state": "PA",
"postal_code": "191952130",
"telephone_number": "201-804-2800",
"fax_number": "201-804-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602055",
"telephone_number": "609-261-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELO",
"first_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB06913500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.