Marc Marcelin, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

043262 Issued in NY

Practice address

640 Eagle Rock Ave Ste 5
West Orange, NJ 07052-2931

Phone

(973) 650-2643

NPI assigned

Aug 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1801376769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 EAGLE ROCK AVE STE 5",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522931",
            "telephone_number": "973-650-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EAGLE ROCK AVE STE 5",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522931",
            "telephone_number": "973-650-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 Ocean Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294552",
            "country_code": "US",
            "telephone_number": "973-650-2643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "043262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manheim Family Foot Care LLC (Step by Step Family Foot Care)
• Manickam Ganesh M.D., P.a.
• Andrea C Marana, LCSW
• Marathon Health, LLC (Marathon Health, West Orange NJ)
• Nancy Marcel
• Julie Lauren Marcelliano, PT
• Marie Sangosse MD PA
• Sheri Anne Marino Haiken, SLP
• Daniel Henry Markham, D.M.D.
• Brittany Maronna

• Orthopedic Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.