Michael J Marchese, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MA04795500 Issued in NJ

Practice address

900 Route 70
Lakewood, NJ 08701-5940

Phone

(732) 901-7314

Fax

(732) 901-5704

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Radiation Oncology

Education

Baylor College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Point Medical Associates LLCGroup PAC ID 9335182658, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Shore Point Medical Associates LLC

  • Radiation Oncology Physician
  • Lakewood, NJ
  • NPI 1518900240
  Medicare reassignment Care Compare group
• Jersey Shore Brachytherapy P a

  • Radiation Oncology Physician
  • Lakewood, NJ
  • NPI 1407899222
  Medicare reassignment NPD
• Holmdel Sports and Spine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Holmdel, NJ
  • NPI 1003667155
  NPD (past)
• Mid Atlantic Multi Specialty Surgical Group, LLC

  • Surgery Physician
  • Howell, NJ
  • NPI 1508891417
  NPD (past)
• Oncology Associates Ocean Co

  • Radiation Oncology Physician
  • Toms River, NJ
  • NPI 1033164934
  NPD (past)
• Urologic Health Center of N.J. P.C.

  • Urology Physician
  • Toms River, NJ
  • NPI 1659418408
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1790768125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 70",
            "address_2": "SUITE 2A",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015940",
            "telephone_number": "732-901-7314",
            "fax_number": "732-901-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015940",
            "telephone_number": "732-901-7314",
            "fax_number": "732-901-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA04795500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0585700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BCBS",
            "identifier": "432022246",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ OXFORD HEALTH PLANS",
            "identifier": "P624533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ AMERIHEALTH",
            "identifier": "2265396000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ ACS/HEALTHNET",
            "identifier": "2K5010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ  GHI",
            "identifier": "400319",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6332200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maple RX NJ LLC
• Antonino E Marasca, MD
• Gila Marburger
• Jennifer Marcella, LSW
• Sarah Marcelle
• Diana Kathleen Marchesini
• Michal Marchette, LCSW
• Rebecca Marcinko
• Lorraine Anne Marcketta
• Richard Alan Marcus, DMD

• Radiation Oncology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.
• 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.