Active NPI
Marc Flores, DO
- Emergency Medicine Physician
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MB66973
- Practice address
- 509 N Broad St
Woodbury, NJ 08096-1617 - Phone
- (856) 845-0100
- NPI assigned
- Jul 25, 2006
- Last updated
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MB66973 | NJ | Primary |
Addresses
Primary practice location
509 N Broad St
Woodbury, NJ 08096-1617
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Other practice location 1
700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7911106 | Medicaid | NJ | |
| 0570975000 | Other | NJ | AMERIHEALTH |
| 103476938 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB66973 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of New Jersey, PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
Locations
700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1740202779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961617",
"telephone_number": "856-845-0100"
}
],
"practiceLocations": [
{
"address_1": "700 Mullica Hill Rd",
"address_purpose": "LOCATION",
"city": "Mullica Hill",
"state": "NJ",
"postal_code": "080624413",
"country_code": "US",
"telephone_number": "856-508-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "MARC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MB66973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7911106",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0570975000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103476938",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.