Jose Y Marmol PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05186800 Issued in NJ

Legal business name

JOSE Y MARMOL PC

Practice address

172 Newark Avenue
Jersey City, NJ 07302

Phone

(201) 435-6675

Fax

(201) 435-7610

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Yuzon Marmol Jr., MD

Title

President

Phone

(201) 435-6675

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1790850006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3105",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073033105",
            "telephone_number": "201-435-6675",
            "fax_number": "201-435-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 NEWARK AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-435-6675",
            "fax_number": "201-435-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE Y MARMOL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "MARMOL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "YUZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-435-6675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05186800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3951103",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1041321",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI CHOICE",
            "identifier": "HUL00000600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Kathryn Jordan, LPC, CCS
• Jason Jordan
• Paula Jordan, DPT
• Jose B. Ecal, M.D.P.a.
• Jose R Sanchez Pena M.D.P.C
• Sallie Lyndsy Jose
• Joselin Herrera, LCSW P.C
• Joseph a. Colao, D.O.
• Joseph F Popovich, M.D., P.C.
• Joseph James Anesthesia PC

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.