Active NPI
David Thomas Marron
- Chiropractor
- Shrewsbury, NJ
National Provider Identifier
1891813168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC02679
- Practice address
- 179 Avenue at the CMN
Stre 5
Shrewsbury, NJ 07702-4804 - Phone
- (732) 542-1272
- Fax
- (732) 542-2315
- NPI assigned
- Mar 26, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC02679 | NJ | Primary |
Addresses
Primary practice location
179 Avenue at the CMN
Stre 5
Shrewsbury, NJ 07702-4804
Mailing address
PO Box 316
Oakhurst, NJ 07755-0316
Phone (732) 660-1115
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD840402 | Other | NJ | GHI ID |
| 222535373 | Other | NJ | GENERAL INSURANCE ID |
| P767316 | Other | NJ | AETNA ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
615 Hope Rd
Suite 2a
Eatontown, NJ 07724-1273
Phone (732) 233-6448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC02679 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marron Family Wellness Center LLC | Chiropractor | Current | Accepting new patients |
| Nami Khulusi MD LLC | Past | Accepting new patients |
Locations
615 Hope Rd
Ste 2A
Eatontown, NJ 07724
Phone (732) 233-6448
179 Avenue At the Cmn
Ste 5
Shrewsbury, NJ 07702
Phone (732) 542-1272
Organizations & group practices 2
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.
-
- Chiropractor
- Eatontown, NJ
- NPI 1437473345
-
- Internal Medicine Physician
- Englishtown, NJ
- NPI 1417092776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1891813168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 316",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077550316",
"telephone_number": "732-660-1115",
"fax_number": "732-660-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 AVENUE AT THE CMN",
"address_2": "STRE 5",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024804",
"telephone_number": "732-542-1272",
"fax_number": "732-542-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRON",
"first_name": "DAVID",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC02679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI ID",
"identifier": "MD840402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL INSURANCE ID",
"identifier": "222535373",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "P767316",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.