Individual provider Active NPI

Marius J-M Ilario, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Ramsey, NJ
National Provider Identifier
1720024995
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
222763 Issued in NY
Practice address
535 E Crescent Ave
C/O Histopathology Services, LLC
Ramsey, NJ 07446-2922
Phone
(201) 661-7280
Fax
(201) 661-7297
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 222763 NY Primary
Cytopathology Physician 207ZC0500X 222763 NY

Addresses

Primary practice location

535 E Crescent Ave
C/O Histopathology Services, LLC
Ramsey, NJ 07446-2922

Mailing address

535 E Crescent Ave
C/O Histopathology Services, LLC
Ramsey, NJ 07446-2922
Phone (201) 661-7280

Other identifiers 1

IdentifierTypeStateIssuer
03039916MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20050128000254 NY Practitioner - Pathology 4385694207 Reassigns benefits to 2 organizations
I20130311000033 NJ Practitioner - Pathology 4385694207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Pathology Associates, PCGroup PAC ID 5698664159, 13 clinicians

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2253
Phone (201) 661-7280

707 E Main St
Middletown, NY 10940-2650
Phone 2012474247103

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3020

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
85.94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222763NYMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince May 1, 2013 Accepting new patients
Orange Pathology Associates, PC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2008 Accepting new patients
Middletown Medical PC CurrentSince May 1, 2013 Accepting new patients
University Pathology, P.C. Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

535 E Crescent Ave
Ramsey, NJ 07446
Phone (201) 447-2020

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

128 Ashford Ave
#F
Dobbs Ferry, NY 10522
Phone (514) 559-1024

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

419 E Main St
Ste 101
Middletown, NY 10940
Phone (845) 343-4500

111 Maltese Dr
Middletown, NY 10940

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1720024995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "address_2": "C/O HISTOPATHOLOGY SERVICES, LLC",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-661-7280",
            "fax_number": "201-661-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "address_2": "C/O HISTOPATHOLOGY SERVICES, LLC",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-661-7280",
            "fax_number": "201-661-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILARIO",
        "first_name": "MARIUS",
        "middle_name": "J-M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "222763",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NY",
            "license": "222763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03039916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.