Individual provider Active NPI

Alexander Marotta, M.D.

  • Specialist
  • Wyckoff, NJ
National Provider Identifier
1720048077
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07980000 Issued in NJ
Practice address
541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150
Phone
(201) 652-6211
Fax
(201) 652-0321
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07980000 NJ Primary

Addresses

Primary practice location

541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150

Mailing address

541 Cedar Hill Ave
Suite 8
Wyckoff, NJ 07481-2150
Phone (201) 652-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000455 NJ Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9638193535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

44 Route 23 N
Suite 6
Riverdale, NJ 07457-1603
Phone (973) 248-9199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Weiss MD PA CurrentSince Jun 1, 2022 Accepting new patients

Locations

261 James St
Ste 1D
Morristown, NJ 07960
Phone (973) 267-3646

140 N State Rt 17
Ste 204
Paramus, NJ 07652
Phone (201) 523-9797

44 State Rt 23
Ste 6
Riverdale, NJ 07457
Phone (973) 248-9199

Interoperability endpoints

  • Direct secure messaging: alexandermarotta@weiismedaa.allscriptsdirect.net

Organizations & group practices 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1720048077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "address_2": "SUITE 8",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-6211",
            "fax_number": "201-652-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "address_2": "SUITE 8",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-6211",
            "fax_number": "201-652-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROTTA",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07980000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.