Individual provider Active NPI

Marc J Cirello

  • Pharmacist
  • Pompton Plains, NJ
National Provider Identifier
1780862979
Registry record updated Feb 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01582000 Issued in NJ
Practice address
500 Route 23
Pompton Plains, NJ 07444-1853
Phone
(973) 616-7727
Fax
(973) 616-1177
NPI assigned
Feb 10, 2008
Last updated
Feb 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01582000 NJ Primary

Addresses

Primary practice location

500 Route 23
Pompton Plains, NJ 07444-1853

Mailing address

173 Pasadena PL
Hawthorne, NJ 07506-2838

Other identifiers 1

IdentifierTypeStateIssuer
28RI01582000OtherNJNJ BOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28RI01582000NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202601600000",
    "number": "1780862979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PASADENA PL",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441853",
            "telephone_number": "973-616-7727",
            "fax_number": "973-616-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRELLO",
        "first_name": "MARC",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01582000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RI01582000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.