Gary Marencin, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

02-0000045 Issued in DE

Practice address

4735 Ogletown-Stanton Road
Medical Arts Pavilion 2, Suite 1205
Newark, DE 19713

Phone

(302) 623-4050

Fax

(302) 623-4059

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By 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 DE

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy of Delaware LLCGroup PAC ID 2264613504, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• ENT and Allergy of Delaware LLC

  • Specialist
  • Newark, DE
  • NPI 1386946333
  Medicare reassignment Care Compare group NPD
• Christiana Care Health Initiatives

  dba CCHI Specialty Services

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Newark, DE
  • NPI 1386249738
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1760930549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON ROAD",
            "address_2": "MEDICAL ARTS PAVILION 2, SUITE 1205",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4050",
            "fax_number": "302-623-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN-STANTON ROAD",
            "address_2": "MEDICAL ARTS PAVILION 2, SUITE 1205",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-623-4050",
            "fax_number": "302-623-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENCIN",
        "first_name": "GARY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "02-0000045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Manzone, M.D.
• Nicolette Caroline Mapp, OTR/L
• Bruno Marcon
• Thomas Charles Marconi Jr., MD
• Felix Marechal, PT, DPT
• Catherine Marie Marge, LMSW
• Mallory Ava Margherita
• Philip John Margiotta, MD
• Maria Lazar, MD PA
• Maritza Marin

• Audiologist in Newark, DE
• Providers in Newark, DE by specialty
• Audiologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.