Markrmenaquale,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MD01443 Issued in NJ

Legal business name

MARKRMENAQUALE,INC

Practice address

310 Jackson Rd
Atco, NJ 08004-1604

Phone

(856) 767-9100

Fax

(856) 767-9571

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MARKRMENAQUALE,INCAs reported in NPPES

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

Authorized official

Name

Dr. Mark R Menaquale, DPM

Title

President-Owner

Phone

(609) 509-0898

Specialties & licenses 1

Addresses

Part of

Markrmenaqualeinc

Locations

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1821267220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 JACKSON RD",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080041604",
            "telephone_number": "856-767-9100",
            "fax_number": "856-767-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 JACKSON RD",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080041604",
            "telephone_number": "856-767-9100",
            "fax_number": "856-767-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKRMENAQUALE,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARKRMENAQUALE,INC",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MENAQUALE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "609-509-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD01443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lions of Judah7 Ministries (Angels of Mercy Healthcare Agency)
• Kimberly Lipstas
• Michael John Loftus Jr., MPT
• Mildred Magsanoc, PT
• Andrew Mallon, DPT
• Emily Anne Martin
• Carla A McGruder, DMD
• Amy S Miller
• Ashley Gale Miller, MPT, CSCS
• Janet Mitchell

• Durable Medical Equipment & Medical Supplies in Atco, NJ
• Providers in Atco, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.