Active NPIIndividual providerSole proprietor

Amilcar J Marmolejo, DO

Student in an Organized Health Care Education/Training Program in Paterson, New Jersey

NPI Number1578268637
Practice location
703 Main St, Paterson, NJ 07503-2621
Fax
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Last updated
May 14, 2026

Amilcar Junior Marmolejo is a Student in an Organized Health Care Education/Training Program based in Paterson, NJ. Amilcar Junior Marmolejo practices in Paterson, NJ and has the professional credentials of DO. The NPI Number for Amilcar Junior Marmolejo is 1578268637 and holds a License No. 20A24988 (CA). The current practice location address for Amilcar Junior Marmolejo is 703 Main St, Paterson, NJ 07503-2621 and can be reached out via phone at 973-754-2918.

Provider Profile Details

NPI Number
1578268637
Provider Name
Amilcar Junior Marmolejo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
703 Main St, Paterson, NJ 07503-2621
Phone Number
973-754-2918
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2023
Last Update Date
May 14, 2026
Certification Date
May 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
703 Main St
Paterson, NJ 07503-2621
Zip
07503-2621
Phone Number
973-754-2918
Paterson, NJ 07503Get directions →

Provider Business Mailing Address Details

Address
54 Van Orden Pl
Clifton, NJ 07011-2922
City
Clifton
State
NJ
Zip
07011-2922
Phone Number
973-934-5358

License Information

License Number (2)
20A24988
License State (2)
CA
Taxonomy (2)
Emergency Medicine · 207P00000X

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 Amilcar J Marmolejo, DO?

The NPI number of Amilcar J Marmolejo, DO is 1578268637. It was assigned on March 30, 2023 and is currently active in the NPPES registry.

What is the specialty of Amilcar J Marmolejo, DO?

Amilcar J Marmolejo, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CA under license number 20A24988.

Where does Amilcar J Marmolejo, DO practice?

The practice location is 703 Main St, Paterson, NJ 07503-2621. The office can be reached at 973-754-2918 (phone).

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 1578268637 directly on the NPPES registry website.

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