NPIMap

Organization Active NPI

Thomas J Marzili MD LLC

  • Primary Care Clinic/Center
  • Medford, NJ
National Provider Identifier
1801131412
Registry record updated Apr 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA05637000 Issued in NJ
Legal business name
THOMAS J MARZILI MD LLC
Practice address
128 Route 70
Suite 13
Medford, NJ 08055-2371
Phone
(609) 451-2020
Fax
(609) 451-2021
NPI assigned
Dec 7, 2012
Last updated
Apr 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2013

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

Authorized official

Name
Dr. Thomas James Marzili, M.D.NPI 1952325334
Title
Owner
Phone
(609) 744-3437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA05637000 NJ Primary

Addresses

Primary practice location

128 Route 70
Suite 13
Medford, NJ 08055-2371

Mailing address

128 Route 70
Suite 13
Medford, NJ 08055-2371
Phone (609) 451-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000066 NJ Part B Supplier - Clinic/Group Practice 6103061403 Receives reassigned benefits from 5 practitioners
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

733 Route 70 E
Bldg 2
Marlton, NJ 08053

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366502400000",
    "number": "1801131412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 13",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-451-2020",
            "fax_number": "609-451-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 13",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-451-2020",
            "fax_number": "609-451-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J MARZILI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2013-04-21",
        "status": "A",
        "authorized_official_last_name": "MARZILI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-744-3437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA05637000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.