Active NPIIndividual provider

Domenic L Mariano, DO

Internal Medicine, Cardiovascular Disease in Glen Ridge, New Jersey

NPI Number1457327975
Practice location
946 Bloomfield Ave, Glen Ridge, NJ 07028
Fax
973-743-2627
Last updated
September 24, 2013

Domenic L Mariano is an Internal Medicine, Cardiovascular Disease based in Glen Ridge, NJ. Domenic L Mariano practices in Glen Ridge, NJ and has the professional credentials of DO. The NPI Number for Domenic L Mariano is 1457327975 and holds a License No. MB05816800 (NJ). The current practice location address for Domenic L Mariano is 946 Bloomfield Ave, Glen Ridge, NJ 07028 and can be reached out via phone at 973-743-1121 and via fax at 973-743-2627.

Provider Profile Details

NPI Number
1457327975
Provider Name
Domenic L Mariano
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
946 Bloomfield Ave, Glen Ridge, NJ 07028
Phone Number
973-743-1121
Fax Number
973-743-2627
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2006
Last Update Date
September 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
946 Bloomfield Ave
Glen Ridge, NJ 07028
Zip
07028
Phone Number
973-743-1121
Fax Number
973-743-2627
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
946 Bloomfield Ave
Glen Ridge, NJ 07028
City
Glen Ridge
State
NJ
Zip
07028
Phone Number
973-743-1121
Fax Number
973-743-2627

License Information

License Number
MB05816800
License State
NJ
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Domenic L Mariano, DO?

The NPI number of Domenic L Mariano, DO is 1457327975. It was assigned on February 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Domenic L Mariano, DO?

Domenic L Mariano, DO is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number MB05816800.

Where does Domenic L Mariano, DO practice?

The practice location is 946 Bloomfield Ave, Glen Ridge, NJ 07028. The office can be reached at 973-743-1121 (phone) or 973-743-2627 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457327975 directly on the NPPES registry website.

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