Individual provider Active NPI

Joanne Marmol-Marmolejos, M.D.

  • Family Medicine Physician
  • West Nyack, NY
National Provider Identifier
1710240213
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
340695 Issued in NY
Practice address
2 Centerock Rd
West Nyack, NY 10994-2215
Phone
(845) 703-6999
Fax
(845) 703-6297
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10703700 NJ
Family Medicine Physician 207Q00000X 340695 NY Primary

Addresses

Primary practice location

2 Centerock Rd
West Nyack, NY 10994-2215

Mailing address

PO Box 411730
Boston, MA 02241-1730
Phone (845) 703-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200311000548 NJ Practitioner - Family Practice 7810239738 Reassigns benefits to 9 organizations
I20260427001433 NY Practitioner - Family Practice 7810239738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers, Robert Woood Johnson Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crystal Run Healthcare Physicians LLPGroup PAC ID 6901792696, 366 clinicians
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

300 Crystal Run Rd
Middletown, NY 10941-4069
Phone (845) 692-6999

46 Newman Springs Rd E
Suite F
Red Bank, NJ 07701-1531
Phone (732) 933-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10703700NJMDFamily Medicine Physician
340695NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salerno Medical Associates, LLC CurrentSince Mar 1, 2020 Accepting new patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2025 Accepting new patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Mar 1, 2020 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2025 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Dec 1, 2023 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmarmolmarmolejos77165@direct.optum.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1710240213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411730",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411730",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTEROCK RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942215",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOL-MARMOLEJOS",
        "first_name": "JOANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10703700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "340695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.