Individual provider Active NPI

Christopher S. Marengo, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, NJ
National Provider Identifier
1992949390
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08897800 Issued in NJ
Practice address
101 2ND St
Lakewood, NJ 08701
Phone
(732) 363-6655
Fax
(732) 363-6656
NPI assigned
Apr 29, 2009
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101245636 VA
Obstetrics & Gynecology Physician 207V00000X 25MA08897800 NJ Primary

Addresses

Primary practice location

101 2ND St
Lakewood, NJ 08701

Mailing address

400 Defiance Ave
Gallup, NM 87301-5725
Phone (540) 797-9779

Other practice location 1

277 White St NE
Abingdon, VA 24210-2913
Phone (276) 628-4335

Other practice location 2

277 White St NE
Abingdon, VA 24210-2913
Phone (276) 628-4335

Other identifiers 2

IdentifierTypeStateIssuer
Q017474MedicaidTN
1992949390MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090720000355 VA Practitioner - Obstetrics/Gynecology 3375695588 Reassigns benefits to 3 organizations
I20191223000831 NJ Practitioner - Obstetrics/Gynecology 3375695588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Access to Health Services IncGroup PAC ID 3476512427, shared by 12 NPIs, 37 clinicians

Practice addresses (Care Compare)

287 Commonwealth W Blvd
Martinsville, VA 24112-1820
Phone (276) 632-2966

705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Mar 1, 2020 Accepting new patients
Ocean Health Initiatives Inc Obstetrics & Gynecology Current Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Dec 1, 2022 Accepting new patients
Neighborhood Health Services Corporation Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Nov 15, 2019 Accepting new patients
Piedmont Access to Health Services Inc CurrentSince Dec 1, 2022 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 1, 2016 Accepting new patients
Wythe County Physician Practices LLC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 1, 2016 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

705 Main St
Danville, VA 24541
Phone (434) 791-4122

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

590 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-6312

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: christopher.marengo.p1@direct.nhscnj.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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 2

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1992949390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEFIANCE AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015725",
            "telephone_number": "540-797-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-363-6655",
            "fax_number": "732-363-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 White St NE",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102913",
            "country_code": "US",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 White St NE",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102913",
            "country_code": "US",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARENGO",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101245636",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08897800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017474",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992949390",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.