Marcelo Marin, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00516200 Issued in NJ

Practice address

148 Engle St
Englewood, NJ 07631-2581

Phone

(201) 569-1530

Fax

(201) 569-6022

NPI assigned

Oct 3, 2014

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapro-Corf, LLCGroup PAC ID 4587748017, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapro-Corf, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Bergen, NJ
  • NPI 1043497571
  Medicare reassignment Care Compare group NPD
• Therapro Medical and Surgical Rehabilitation, P.C.

  • Interventional Pain Medicine Physician
  • North Bergen, NJ
  • NPI 1326338781
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1730582800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312581",
            "telephone_number": "201-569-1530",
            "fax_number": "201-569-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312581",
            "telephone_number": "201-569-1530",
            "fax_number": "201-569-6022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 Kennedy Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070475361",
            "country_code": "US",
            "telephone_number": "201-869-2707",
            "fax_number": "201-869-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "MARCELO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-03",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00516200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel H Marcus, OTR/L,CHT
• Rebecca Marcus
• Sheera R Margolies, LCSW
• Dylan Adam Mariano, DPM
• Ryan James Mariano
• Mario H Irigoyen LCSW - LLC
• Yaffa Markovich, OTR/L
• Jacob E. Markovitz, MD
• Silvia Marques Costeira, MS LMFT LPC
• Marsh Ophthalmic Associates

• Primary Care Nurse Practitioner in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.