NPIMap

Organization Active NPI

R.C .Lillie S.J. Marder, D.P.M.'S

  • Podiatrist
  • West Long Branch, NJ
National Provider Identifier
1710916432
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01309 Issued in NJ
Legal business name
R.C .LILLIE S.J. MARDER, D.P.M.'S
Practice address
1049 Broadway
West Long Branch, NJ 07764
Phone
(732) 870-9700
Fax
(732) 571-7873
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Steven J. Marder, D.P.M.NPI 1477583987
Title
Podiatrist
Phone
(732) 870-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X MD01309 NJ Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X MD01368 NJ

Addresses

Primary practice location

1049 Broadway
West Long Branch, NJ 07764

Mailing address

1049 Broadway
West Long Branch, NJ 07764
Phone (732) 870-9700

Other identifiers 1

IdentifierTypeStateIssuer
3241904MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1049 Broadway
West Long Branch, NJ 07764
Phone (732) 787-4747

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1710916432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-870-9700",
            "fax_number": "732-571-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-870-9700",
            "fax_number": "732-571-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.C .LILLIE S.J. MARDER, D.P.M.'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "732-870-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01309",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3241904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.