| Mendham Medical Practice Llc | |
|
19 E Main St Ste 1 Mendham NJ 07945-1503 | |
| (973) 543-6505 | |
| (973) 543-2967 |
| Full Name | Mendham Medical Practice Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 E Main St Ste 1, Mendham, New Jersey |
| Authorized Official Name and Position | Gregg G Marella (SOLE MEMBER) |
| Authorized Official Contact | 9735436505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendham Medical Practice Llc 19 E Main St Ste 1 Mendham NJ 07945-1503 Ph: (973) 543-6505 | Mendham Medical Practice Llc 19 E Main St Ste 1 Mendham NJ 07945-1503 Ph: (973) 543-6505 |
| NPI Number | 1265917926 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 11/14/2018 |
| Medicare PECOS PAC ID | 8921345208 |
|---|---|
| Medicare Enrollment ID | O20190124001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265917926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregg G Marella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922116326 PECOS PAC ID: 0840215851 Enrollment ID: I20051010000248 |
| Provider Name | Annemarie Schlomann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962903849 PECOS PAC ID: 2365786407 Enrollment ID: I20181130001417 |
Mendham Medical Group Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Main St, Mendham, NJ 07945 Phone: 973-543-6505 Fax: 973-543-2967 | |
Medical Associates Of Mendham Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Cold Hill Rd S Ste 9, Mendham, NJ 07945 Phone: 973-768-0338 | |
Somerset Mental Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Cold Hill Rd S Ste 26, Mendham, NJ 07945 Phone: 862-571-9534 |