Individual provider Active NPI

Gregg Gerard Marella, M.D.

  • Internal Medicine Physician
  • Mendham, NJ
National Provider Identifier
1922116326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA64502 Issued in NJ
Practice address
19 E Main St
Mendham, NJ 07945-1503
Phone
(973) 543-6505
Fax
(973) 543-2967
NPI assigned
Aug 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA64502 NJ Primary

Addresses

Primary practice location

19 E Main St
Mendham, NJ 07945-1503

Mailing address

19 E Main St
Mendham, NJ 07945-1503
Phone (973) 543-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000248 NJ Practitioner - Internal Medicine 0840215851 Reassigns benefits to 1 organization
Practice locations: Morristown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 E Main St
Suite 1
Mendham, NJ 07945-1503
Phone (973) 543-6505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA64502NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendham Medical Practice LLC Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients

Locations

19 E Main St
Ste 1
Mendham, NJ 07945
Phone (973) 543-6505

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922116326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451503",
            "telephone_number": "973-543-6505",
            "fax_number": "973-543-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451503",
            "telephone_number": "973-543-6505",
            "fax_number": "973-543-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARELLA",
        "first_name": "GREGG",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA64502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.