Marilyn a. Kubichek, MD, LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

25MA06067000 Issued in NJ

Legal business name

MARILYN A. KUBICHEK, MD, LLC

Practice address

256 Columbia Tpke
Suite 109
Florham Park, NJ 07932-1209

Phone

(973) 377-7822

Fax

(973) 377-7821

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn A. Kubichek, MDNPI 1750449286

Title

President

Phone

(973) 377-7822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Marilyn Ann Kubichek, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Florham Park, NJ
  • NPI 1750449286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1962683391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079280564",
            "telephone_number": "973-377-7822",
            "fax_number": "973-377-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "SUITE 109",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-377-7822",
            "fax_number": "973-377-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN A. KUBICHEK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "KUBICHEK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-377-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA06067000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gautam Malhotra, M.D.
• Meg Malkasian, LAC
• Edward Thomas Mann, PHD
• Kimberly Ilen Manzo, MS, RD
• Richard James Marek
• Tina Marinaccio, RD
• Todd E Markowitz, M.D
• Marlene a. Harmon, PHD, LLC
• Patricia Marlinski, NP
• Maron & Rodrigues Medical Group LLC

• Neurology with Special Qualifications in Child Neurology Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.