Individual provider Active NPI

David Thomas Marron

  • Chiropractor
  • Shrewsbury, NJ
National Provider Identifier
1891813168
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC02679 Issued in NJ
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

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD840402OtherNJGHI ID
222535373OtherNJGENERAL INSURANCE ID
P767316OtherNJAETNA ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000123 NJ Practitioner - Chiropractic 9739256611 Reassigns benefits to 1 organization
Practice locations: Shrewsbury, NJ

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

LicenseStateTypeSpecialty
MC02679NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marron Family Wellness Center LLC Chiropractor CurrentSince May 29, 2010 Accepting new patients
Nami Khulusi MD LLC PastSince Oct 1, 2006 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.

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.

Verify at the official NPI Registry.