THOMAS MARZILI MD
NPI 1578906343
Non-Pharmacy Dispensing Site in Medford, NJ
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 31D2204385
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-08-2026
About THOMAS MARZILI MD
This page provides the complete NPI Profile along with additional information for Thomas Marzili Md, a provider established in Medford, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1578906343 assigned on April 2013. The practitioner's primary taxonomy code is 332900000X with license number 25MA05637000 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Thomas Marzili Md. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1578906343 Verify this NPI
- Provider Legal Name
- THOMAS MARZILI MD LLC
- Other Organization Name
- THOMAS MARZILI MD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 128 ROUTE 70 SUITE 13 MEDFORD, NJ 08055
- Location Phone
- (609) 451-2020
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-11-2013
- Last Update Date
- 04-11-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 25MA05637000
- License State
- NJ
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2204385
- Facility Type
- Physician Office
- Certificate Effective Date
- December 09, 2024
- Certificate Expiration Date
- December 08, 2026
- Laboratory Director
- THOMAS MARZILI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Thomas Marzili Md to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
MEDFORD, NJ 08055
MEDFORD, NJ 08055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578906343, enumerated as an "organization" on April 11, 2013.
The provider is located at 128 ROUTE 70 SUITE 13 MEDFORD, NJ 08055 and the phone number is (609) 451-2020.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
