Marymorbariatricsllc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD026704E Issued in PA

Legal business name

MARYMORBARIATRICSLLC

Practice address

100 W Sproul Rd
Suite 224
Springfield, PA 19064-2033

Phone

(610) 715-2316

Fax

(610) 353-0878

NPI assigned

Jul 3, 2009

Organization subpart

No

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

Authorized official

Name

Neil S Marymor, MD

Title

Sole Member

Phone

(610) 715-2316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1790914331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OLD COVERED BRIDGE RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731202",
            "telephone_number": "610-715-2316",
            "fax_number": "610-353-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD",
            "address_2": "SUITE 224",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-715-2316",
            "fax_number": "610-353-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYMORBARIATRICSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "MARYMOR",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-715-2316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD026704E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Marcoe
• Carl Marcus, LCSW
• Marlowe Zwillenberg & Ghaderi LLC
• Rocky Marsero, ATC, LAT
• Daniel S Martin, MD
• Terri Jo Anne Massey, LCSW
• William Francis Mastro III, M.ED.
• Isabelle Frances Mastropietro
• Craig Isao Matsumoto, PA-C
• Jeffrey Piper Matthews, DO

• Surgery Physician in Springfield, PA
• Providers in Springfield, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.