Marc Panepinto LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARC PANEPINTO LLC

Practice address

55 Woodland Ave
Summit, NJ 07901-2225

Phone

(908) 246-0869

Fax

(888) 812-6494

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Marc Panepinto, LCSWNPI 1114251592

Title

Owner

Phone

(908) 246-0869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Marc Panepinto, MSW

  • Social Worker
  • Summit, NJ
  • NPI 1114251592

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1912745456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BERKSHIRE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222604",
            "telephone_number": "908-246-0869",
            "fax_number": "888-812-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WOODLAND AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012225",
            "telephone_number": "908-246-0869",
            "fax_number": "888-812-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC PANEPINTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "PANEPINTO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-246-0869",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Manista, ATC
• Teresa Manocchio, D.O
• Jami Mansing, RD
• Bavnouti Mansour
• Celeste Maquiling
• Candace April Marchell, DPT
• Isabelle Amanda Marenberg, M.S.
• Vicki Lynne Marino, RPH
• Angelle Mark
• Daniel J Markley, MD

• Clinical Social Worker in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.