Marcello Sammarone, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MA05745200 Issued in NJ

Practice address

1130 US Highway 46 Ste 1
Parsippany, NJ 07054-2148

Phone

(973) 917-3172

Fax

(973) 917-3174

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 20, 2025 through Jan 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keystone Group, LLC

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1215179627
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1881755510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 US HIGHWAY 46 STE 1",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542148",
            "telephone_number": "973-917-3172",
            "fax_number": "973-917-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 US HIGHWAY 46 STE 1",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542148",
            "telephone_number": "973-917-3172",
            "fax_number": "973-917-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Broadway",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141524",
            "country_code": "US",
            "telephone_number": "973-294-6228",
            "fax_number": "800-935-0791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMARONE",
        "first_name": "MARCELLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "MA05745200",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA05745200",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "MA05745200",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA05745200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7918909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safe Harbor Christian Counseling of New Jersey
• Erin Sainsbury, M.A., BCBA
• Saint Clare's Northwest Imaging Network LLC (Saint Clare's Northwest Imaging Center)
• George Siminig Samala, PT
• Erika S Samji, LMFT
• Sana Spine and Physical Therapy, LLC
• Sana Spine and Physical Therapy, LLC
• Sharada Sanduga, OTR
• Sandy Psych Care PA
• Krista Sangiacomo, LAC

• Anesthesiology Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.