ROBERT MARRIOTT MEDICAL CORP
NPI 1003367558
Surgery in Maywood, NJ

Q: What is Robert Marriott Medical Corp's NPI number?

The NPI number for Robert Marriott Medical Corp is 1003367558. It was assigned to this organization in the NPPES registry on October 19, 2016.

Q: What is Robert Marriott Medical Corp's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 19, 2016

113 W ESSEX ST, MAYWOOD, NJ 07607(877) 878-3289(877) 817-3227 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2018, Mar 17, 2018, Oct 19, 2016 (3 updates tracked since 2016).

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About Robert Marriott Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT MARRIOTT MEDICAL CORP (NPI 1003367558) is a healthcare organization registered as a surgery in Maywood, New Jersey and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Allenwood and lists Robert J Marriott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003367558

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameROBERT MARRIOTT MEDICAL CORP

Location Address113 W ESSEX STMaywood, NJ 07607-1023

Mailing Address222 N Pacific Coast Hwy Ste 2175El Segundo, CA 90245-5639 · (877) 878-3289 · Fax (877) 817-3227

Phone(877) 878-3289

Fax(877) 817-3227

Organization SubpartYesParent: Advantage Wound Care

Authorized OfficialRobert J MarriottCeo · (877) 878-3289

Enumeration DateOctober 19, 2016

Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1003367558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

113 W ESSEX ST, Maywood, NJ 07607

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Secondary Practice Location 1

Location 12350 Hospital RdAllenwood, NJ 08720-7037 · Phone (877) 878-3289 · Fax (877) 817-3227

Other Identifiers 1

Medicaid0205052NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Marriott Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 23 clinicians reassign Medicare billing to Robert Marriott Medical Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner11

General Surgery5

Family Practice2

Plastic and Reconstructive Surgery2

Podiatry2

Surgical Oncology1

Nearest to this location (20)

See all 23

Mikhail Botvinov, D.O.

General Surgery

NPI 1760685622

260 OLD HOOK ROAD, SUITE 303A
Westwood, NJ 07675

(201) 778-5344

✔ PECOS✔ Accepts Medicare7.0 mi

Michael Bernstein, MD

General Surgery

NPI 1073540613

220 HAMBURG TPKE STE 2
Wayne, NJ 07470

(973) 790-8094

✔ PECOS7.8 mi

Ogori Kalu, MD

Surgical Oncology

NPI 1992942676

268 DR MARTIN LUTHER KING JR BLVD
Newark, NJ 07102

(973) 877-2770

✔ PECOS✔ Accepts Medicare12 mi

Frank Ciminello, MD

Plastic and Reconstructive Surgery

NPI 1699746875

90 BERGEN ST DOC 7200
Newark, NJ 07103

(973) 972-8092

✔ PECOS✔ Accepts Medicare12 mi

Robert Olson, M.D.

Plastic and Reconstructive Surgery

NPI 1811906704

78 EASTON AVE
New Brunswick, NJ 08901

(732) 418-0709

✔ PECOS34 mi

Anthony Darr, M.D.

General Surgery

NPI 1790070605

801 OSTRUM ST
Bethlehem, PA 18015

(484) 526-2200

✔ PECOS✔ Accepts Medicare72 mi

John Holup, D.O.

Family Practice

NPI 1326010125

1100 GRAMPIAN BLVD
Williamsport, PA 17701

(570) 326-8550

✔ PECOS154 mi

Sheila Purcell, FNP-C

Nurse Practitioner

NPI 1487532818

3272 BOUNDLESS LN
Timnath, CO 80547

(901) 487-0076

✔ PECOS✔ Accepts Medicare1,613 mi

Kirby Duvall, M.D.

Family Practice

NPI 1922170257

1000 E DRAKE RD
Fort Collins, CO 80525

(970) 498-3104

✔ PECOS✔ Accepts Medicare1,618 mi

Patricia Caporale, FNP-C

Nurse Practitioner

NPI 1508545427

9195 GRANT ST
Thornton, CO 80229

(720) 678-9868

✔ PECOS1,624 mi

Grace Staehlin, FNP

Nurse Practitioner

NPI 1164991238

2355 W 136TH AVE
Broomfield, CO 80023

(303) 658-9827

✔ PECOS✔ Accepts Medicare1,625 mi

Hannah Labove, M.D.

General Surgery

NPI 1477087146

1500 N GRANT ST # 4467
Denver, CO 80203

(970) 306-6819

✔ PECOS1,626 mi

Sharon Quach, D.P.M

Podiatry

NPI 1801844519

175 S UNION BLVD STE 305
Colorado Springs, CO 80910

(719) 365-6881

✔ PECOS✔ Accepts Medicare1,631 mi

Martha Mulenga

Nurse Practitioner

NPI 1265154371

8405 W ALAMEDA AVE
Lakewood, CO 80226

(720) 547-9162

✔ PECOS1,632 mi

Kimberly Casiano, FNP-C

Nurse Practitioner

NPI 1457996977

7735 W LONG DR UNIT 12
Littleton, CO 80123

(303) 904-0331

✔ PECOS1,634 mi

Amee Waldvogle, FNP-C

Nurse Practitioner

NPI 1598567620

2731 COMMERCIAL WAY UNIT A&B
Montrose, CO 81401

(970) 398-4720

✔ PECOS✔ Accepts Medicare1,798 mi

James Rice, RN MS NP-C AOCNP

Nurse Practitioner

NPI 1336300615

569 32 RD STE 12
Grand Junction, CO 81504

(970) 523-3544

✔ PECOS1,817 mi

Randal Young, FNP

Nurse Practitioner

NPI 1073082038

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts Medicare1,823 mi

Robert Marriott, MD

General Surgery

NPI 1700804887

222 N PACIFIC COAST HWY STE 2175
El Segundo, CA 90245

(877) 878-3289

✔ PECOS2,458 mi

Jeffrey Demian, DPM

Podiatry

NPI 1922477280

22633 ANZA AVE
Torrance, CA 90505

(760) 256-1004

✔ PECOS✔ Accepts Medicare2,459 mi

See all 23 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Marriott Medical Corp's NPI number?

The NPI number for Robert Marriott Medical Corp is 1003367558. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Robert Marriott Medical Corp located?

Robert Marriott Medical Corp is located at 113 W Essex St, Maywood, NJ 07607. The listed phone number is (877) 878-3289.

What is Robert Marriott Medical Corp's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Marriott Medical Corp enrolled in Medicare?

Yes. Robert Marriott Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert Marriott Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Robert Marriott Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), General Surgery (5) and Family Practice (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert Marriott Medical Corp was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.