Marek Mrzyglocki, M.D.

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

License

25MA04677200 Issued in NJ

Practice address

215 Brighton Ave
Long Branch, NJ 07740-5219

Phone

(732) 222-1543

Fax

(732) 774-9148

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New York Cardiovascular Associates PLLC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1821065590
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1952375206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536141",
            "telephone_number": "732-776-8535",
            "fax_number": "732-774-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BRIGHTON AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405219",
            "telephone_number": "732-222-1543",
            "fax_number": "732-774-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRZYGLOCKI",
        "first_name": "MAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA46772",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA04677200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mood Eden Inc
• Jay Moon, D.D.S.
• Timothy Patrick Moriarty, D.M.D.
• Andrew Morris, D.D.S.
• Anabella Mostoslavsky, OT
• Kristi L Mulvey, CPNP-AC/PC
• Kelly Elizabeth Murphy, DPT, CSRS
• Sara Murtaza, MD
• Sheeba Mushtaq, M.D.
• Poorna Sai Harshini Muttuluru, MD

• Nuclear Cardiology Physician in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Nuclear Cardiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.