Active NPI
Christopher S. Marengo, MD
- Obstetrics & Gynecology Physician
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08897800
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q017474 | Medicaid | TN | |
| 1992949390 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Services Corporation | Current | Accepting new patients | |
| Ocean Health Initiatives Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Neighborhood Health Services Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Ocean Health Initiatives, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wythe County Physician Practices LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | 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
- christopher.marengo.p1@direct.nhscnj.nextgenshare.com
- https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
- 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.
-
dba Neighborhood Health Center - Phillipsburg
- Federally Qualified Health Center (FQHC)
- Phillipsburg, NJ
- NPI 1003850488
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1043306574
Obstetrics & Gynecology
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1649240698
-
- Family Medicine Physician
- Wytheville, VA
- NPI 1780630327
Obstetrics & Gynecology
-
dba Neighborhood Health Center - Plainfield
- Federally Qualified Health Center (FQHC)
- Plainfield, NJ
- NPI 1316981707
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Toms River, NJ
- NPI 1417938044
-
dba Ballad Health Medical Associates
- Dermatology Physician
- Abingdon, VA
- NPI 1750779997
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Health Center of Piedmont Danville
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1578696910
-
dba PATHS Community Medical Center Danville Riverside
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1114630662
-
- Diagnostic Radiology Physician
- Wytheville, VA
- NPI 1457168494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.