Marianne Mauro, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01711700 Issued in NJ

Practice address

11 Clayton CT
East Brunswick, NJ 08816-2902

Phone

(732) 718-4607

Fax

(732) 819-7669

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1720259740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CLAYTON CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162902",
            "telephone_number": "732-718-4607",
            "fax_number": "732-819-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CLAYTON CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162902",
            "telephone_number": "732-718-4607",
            "fax_number": "732-819-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01711700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01711700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5446104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Masini, M.S., SLP
• Lyndsay Rose Massaro
• Margaret Mary Matos, CCC,SLP
• Anthony Matrone, D.M.D.
• Amanda Elizabeth Matyas, BCBA
• Tiffany Lashae Mayers
• Nadine Claire Mayrena
• Marie-Helene MC Andrew
• Richard John McAlister, DC
• Kathryn Ryan McBratney

• General Practice Dentistry in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.