Organization Active NPI

Melissa Rivera Marano, Psy.D., LLC

  • Clinic/Center
  • Freehold, NJ
National Provider Identifier
1831491612
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4007 Issued in NJ
Legal business name
MELISSA RIVERA MARANO, PSY.D., LLC
Practice address
501 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-5304
Phone
(732) 761-1900
Fax
(732) 761-2388
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Melissa Rivera Marano, PSY.D.NPI 1376605949
Title
Psychologist
Phone
(732) 761-1900

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
Clinic/Center 261Q00000X 4007 NJ Primary

Addresses

Primary practice location

501 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-5304

Mailing address

501 Iron Bridge Rd
Suite 6
Freehold, NJ 07728-5304
Phone (732) 761-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191016000791 NJ Part B Supplier - Clinic/Group Practice 8022349489 Receives reassigned benefits from 5 practitioners
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

495 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 334-8624

509 Stillwells Corner Rd
Ste 7
Freehold, NJ 07728
Phone (732) 683-2322

167 Avenue At the Cmn
Ste 7
Shrewsbury, NJ 07702

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1831491612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285304",
            "telephone_number": "732-761-1900",
            "fax_number": "732-761-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD",
            "address_2": "SUITE 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285304",
            "telephone_number": "732-761-1900",
            "fax_number": "732-761-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RIVERA MARANO, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MARANO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-761-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.