THOMAS MARZILI MD LLC (NPI# 1578906343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578906343 |
| Entity Type | Organization |
| Organization Name | THOMAS MARZILI MD LLC |
| Other Organization Name | THOMAS MARZILI MD |
| Practice Address |
128 Route 70 Suite 13 Medford NJ 08055-2371 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6094512020 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA05637000 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Thomas Marzili MD | Doing Business As Name - Organization |
| Street Address |
128 ROUTE 70 SUITE 13 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
| 1922648401 | Caitlin Martin | Occupational Therapist | 128 Route 70, Medford, NJ 08055-2371 | 2020-01-13 |
| 1144770975 | Virtua Medical Group, Pa | Clinic/Center | 128 Route 70, Suite 1, Medford, NJ 08055 | 2016-10-05 |
| 1922555457 | Scott Middleton | Physical Therapist | 128 Route 70, #2c, Medford, NJ 08055-2371 | 2016-09-01 |
| 1750743084 | Kadin Foot & Ankle Center PC | Podiatrist | 128 Route 70, Suite 14, Medford, NJ 08055-2371 | 2016-03-25 |
| 1427423920 | Paula Preston-dougherty | Registered Nurse | 128 Route 70, Medford, NJ 08055-2371 | 2015-12-09 |
| 1356752778 | Kathryn Farrell | Nurse Practitioner | 128 Route 70, Medford, NJ 08055-2371 | 2014-05-20 |
| 1699192005 | Danielle Murphy Cooney | Occupational Therapist | 128 Route 70, Suite 2 C, Medford, NJ 08055-2371 | 2014-03-24 |
| 1801131412 | Thomas J Marzili Md LLC | Clinic/Center | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2012-12-07 |
| 1972770402 | Mary Schubert Gang | Veterinarian | 128 Route 70, Unit 10, Medford, NJ 08055-2371 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1922413749 | Microbiome Health Research Institute | Non-Pharmacy Dispensing Site | 196 Boston Ave, Suite 1000, Medford, MA 02155-4236 | 2014-07-01 |
| 1316170277 | Memorial Health Center | Non-Pharmacy Dispensing Site | 135 S Gibson St, Medford, WI 54451-1622 | 2009-08-26 |
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| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
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| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.