Marilyn Ann Kubichek, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

25MA06067000 Issued in NJ

Practice address

256 Columbia Tpke
Suite 109
Florham Park, NJ 07932-1209

Phone

(973) 377-7822

Fax

(973) 377-7821

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Marilyn a. Kubichek, MD, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Florham Park, NJ
  • NPI 1962683391
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1750449286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079280564",
            "telephone_number": "973-377-7822",
            "fax_number": "973-377-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 109",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-377-7822",
            "fax_number": "973-377-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICHEK",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA06067000",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA06067000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zsofia Krauss, LSW
• Ritesha S Krishnappa, M.D.
• Donna R Kritzer, RDN
• Kelly A Krueger, M.D.
• Estelle Iris Krumholz, MSW, LCSW
• Mohan Kulkarni, M.D.
• Chen-Jen Kuo, M.D.
• Michael Kuo, M.D.
• James Larry Kusnierz, DO
• Laura Bresler Labarbera, R.N.

• Neurology with Special Qualifications in Child Neurology Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.

Verify at the official NPI Registry.