Marc C Meulener, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA09007000 Issued in NJ

Practice address

12 Ridge St
Basking Ridge, NJ 07920-1785

Phone

(908) 766-7546

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

No

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

Specialty

DermatologyAlso: Pathology

Education

Perelman School of Med at the University of Pennsylvania, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choice Dermatology LLCGroup PAC ID 9133382609, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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 and National Provider Directory roles.

• Choice Dermatology LLC

  • Medical Specialty Clinic/Center
  • Basking Ridge, NJ
  • NPI 1669747432
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1770739633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIDGE ST",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201785",
            "telephone_number": "908-766-7546",
            "fax_number": "908-766-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIDGE ST",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201785",
            "telephone_number": "908-766-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Galloping Hill Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837980",
            "country_code": "US",
            "telephone_number": "908-355-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEULENER",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09007000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Sloan Kettering
• Memorial Sloan Kettering Cancer Center
• Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey
• Meraki Partners, LLC
• Mettle Physical Therapy
• Joseph M Micale, DMD
• Sydne Anne Miller
• Janice P Milstein, PH.D., BCBA-D
• Mind Matters Psychiatry, LLC
• Mindsync Psychiatry LLC

• Dermatology Physician in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.