NPIMap

Individual provider Active NPI

Thomas James Marzili, M.D.

  • Family Medicine Physician
  • Medford, NJ
National Provider Identifier
1952325334
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05637000 Issued in NJ
Practice address
128 Route 70
Suite 13
Medford, NJ 08055-2371
Phone
(609) 451-2020
Fax
(609) 451-2021
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA56370 NJ
Family Medicine Physician 207Q00000X 25MA05637000 NJ Primary

Addresses

Primary practice location

128 Route 70
Suite 13
Medford, NJ 08055-2371

Mailing address

128 Route 70
Suite 13
Medford, NJ 08055-2371
Phone (609) 451-2020

Other identifiers 1

IdentifierTypeStateIssuer
5520304MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000482 NJ Practitioner - Family Practice 0042116352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Marzili MD LLCGroup PAC ID 6103061403, 5 clinicians

Practice addresses (Care Compare)

733 Route 70 E
BLDG 2 Suite 201
Marlton, NJ 08053-2335
Phone (609) 451-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05637000NJMDFamily Medicine Physician
MA56370NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Marzili MD LLC CurrentSince Oct 30, 2012 Accepting new patients

Locations

733 Route 70 E
Ste 201
Marlton, NJ 08053
Phone (609) 451-2020

733 Route 70 E
Bldg 2
Marlton, NJ 08053

128 Route 70
Ste 13
Medford, NJ 08055
Phone (609) 451-2020

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1952325334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 13",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-451-2020",
            "fax_number": "609-451-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 13",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-451-2020",
            "fax_number": "609-451-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZILI",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA56370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05637000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5520304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.