Active NPI
Marianne T. Centanni, M.D.
- Diagnostic Radiology Physician
- Hoboken, NJ
National Provider Identifier
1972549764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA02858900
- Practice address
- 308 Willow Ave
Radiology Department
Hoboken, NJ 07030-3808 - Phone
- (201) 418-1820
- Fax
- (201) 418-1822
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA02858900 | NJ | Primary |
Addresses
Primary practice location
308 Willow Ave
Radiology Department
Hoboken, NJ 07030-3808
Mailing address
10335 N Port Washington Rd
Suite 250
Mequon, WI 53092-5763
Phone (262) 240-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1993305 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.56 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Subspecialists of North Jersey, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Montclair Radiological Assoc ,PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
703 Main St
Fl Radiology
Paterson, NJ 07503
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
Interoperability endpoints
- mcentanni191619@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Paterson, NJ
- NPI 1366428153
-
dba Montclair Radiology
- Diagnostic Radiology Physician
- Nutley, NJ
- NPI 1194810531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1972549764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10335 N PORT WASHINGTON RD",
"address_2": "SUITE 250",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925763",
"telephone_number": "262-240-9870",
"fax_number": "262-240-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"telephone_number": "201-418-1820",
"fax_number": "201-418-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTANNI",
"first_name": "MARIANNE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02858900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1993305",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.