Active NPI
Joseph Michael Marchesano, M.D.
- Rheumatology Physician
- Bloomfield, NJ
National Provider Identifier
1811003726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MAO19466
- Practice address
- 35 Lackawanna PL
Bloomfield, NJ 07003-2401 - Phone
- (973) 748-7700
- Fax
- (973) 748-4873
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MAO19466 | NJ | Primary |
Addresses
Primary practice location
35 Lackawanna PL
Bloomfield, NJ 07003-2401
Mailing address
35 Lackawanna PL
Bloomfield, NJ 07003-2401
Phone (973) 748-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2702509 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAO19466 | NJ | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811003726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LACKAWANNA PL",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032401",
"telephone_number": "973-748-7700",
"fax_number": "973-748-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LACKAWANNA PL",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032401",
"telephone_number": "973-748-7700",
"fax_number": "973-748-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESANO",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "MAO19466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2702509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.