MARLBORO MEDICAL CENTER LLC
NPI 1073699401
Internal Medicine in Englishtown, NJ

Active since October 27, 2006CLIA 31D0946145 · Waiver
PLAZA 203 RTE 9 S, ENGLISHTOWN, NJ 07726(723) 617-8800(732) 617-8800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marlboro Medical Center Llc NPPES

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

MARLBORO MEDICAL CENTER LLC (NPI 1073699401) is a healthcare organization registered as an internal medicine in Englishtown, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Narendra K Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1073699401
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARLBORO MEDICAL CENTER LLC
Location AddressPLAZA 203 RTE 9 SEnglishtown, NJ 07726
Mailing AddressPlaza 203 Rte 9 SEnglishtown, NJ 07726 · (723) 617-8800 · Fax (732) 617-8808
Fax(732) 617-8800
Organization SubpartNo
Authorized OfficialNarendra K GuptaPresident · (732) 617-8800
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073699401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · NA065420
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
PLAZA 203 RTE 9 S, Englishtown, NJ 07726

Other Identifiers 2

Other078510Medicare Group #
Medicaid7665106NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlboro Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040617000207Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marlboro Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1386750255
MARLBORO MEDICAL CENTER LLC PLAZA 203 RTE 9 S
Englishtown, NJ 07726
(732) 617-8800
✔ PECOS✔ Accepts Medicare4.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0946145

Marlboro Medical Center · Englishtown, NJ
Active · expires May 18, 2028
CLIA Number31D0946145
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorNarendra K. Gupta MD
Laboratory Phone(732) 617-8800
Laboratory LocationMarlboro Medical CenterPlaza 203 Route 9 South, Englishtown, NJ 07726
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Marlboro Medical Center LLC's NPI number?

The NPI number for Marlboro Medical Center LLC is 1073699401. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Marlboro Medical Center LLC located?

Marlboro Medical Center LLC is located at Plaza 203 Rte 9 S, Englishtown, NJ 07726. The listed phone number is (723) 617-8800.

What is Marlboro Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marlboro Medical Center LLC enrolled in Medicare?

Yes. Marlboro Medical Center LLC is registered in the Medicare PECOS enrollment system.

When is Marlboro Medical Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marlboro Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Marlboro Medical Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marlboro Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0946145) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marlboro Medical Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.