ACTIVE HEALTH MARMORA LLC
NPI 1629707369
Family Medicine in Marmora, NJ

Active since June 08, 2022
16 ROOSEVELT BLVD, MARMORA, NJ 08223(609) 886-8585 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Active Health Marmora Llc NPPES

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

ACTIVE HEALTH MARMORA LLC (NPI 1629707369), doing business as Active Joint And Spine Institute, is a healthcare organization registered as a family medicine in Marmora, New Jersey and active in the NPI registry since June 2022. The organization lists Robert Olivieri, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629707369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACTIVE HEALTH MARMORA LLC
Location Address16 ROOSEVELT BLVDMarmora, NJ 08223-2032
Mailing Address1501 Route 47Rio Grande, NJ 08242-1401 · (609) 886-8585
Organization SubpartNo
Authorized OfficialRobert OlivieriAuthorized Official · (609) 886-8585
Enumeration DateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1629707369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractorTaxonomy 111N00000X
16 ROOSEVELT BLVD, Marmora, NJ 08223

Other Names 1

Doing Business AsActive Joint And Spine Institute

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)

Active Health Marmora Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Active Health Marmora LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Chiropractic6
Nurse Practitioner5
Occupational Therapist in Private Practice4
Osteopathic Manipulative Medicine1

Clinicians, nearest first (16)

Chiropractic
NPI 1629734678
28 N JASPER AVE
Margate City, NJ 08402
(215) 520-5066
8.9 mi
Nurse Practitioner
NPI 1942986336
1612 TILTON RD
Northfield, NJ 08225
(609) 277-2477
✔ PECOS8.9 mi
Chiropractic
NPI 1093768814
1423 TILTON RD STE 4
Northfield, NJ 08225
(609) 383-0700
✔ Accepts Medicare9.0 mi
Chiropractic
NPI 1457904039
333 TILTON RD STE 2
Northfield, NJ 08225
(609) 432-8211
9.8 mi
Nurse Practitioner
NPI 1003181801
4016 VENTNOR AVE
Atlantic City, NJ 08401
(856) 861-6500
✔ PECOS12 mi
Occupational Therapist in Private Practice
NPI 1982397683
1501 ROUTE 47
Rio Grande, NJ 08242
(609) 886-8039
✔ Accepts Medicare21 mi
Chiropractic
NPI 1528636628
1501 ROUTE 47
Rio Grande, NJ 08242
(609) 886-8039
✔ Accepts Medicare21 mi
Chiropractic
NPI 1043224090
1501 ROUTE 47
Rio Grande, NJ 08242
(609) 886-8585
21 mi
Osteopathic Manipulative Medicine
NPI 1215006341
4011 ROUTE 9 S SUITE 201
Rio Grande, NJ 08242
(609) 770-7788
✔ PECOS21 mi
Occupational Therapist in Private Practice
NPI 1700545431
4 LAFAYETTE DR
Clementon, NJ 08021
(856) 261-3401
✔ Accepts Medicare42 mi
Occupational Therapist in Private Practice
NPI 1982437406
1317 ROUTE 73
Mount Laurel, NJ 08054
(856) 983-7000
✔ Accepts Medicare48 mi
Occupational Therapist in Private Practice
NPI 1730826934
7 CARNEGIE PLZ
Cherry Hill, NJ 08003
(877) 407-3422
✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1336595800
3458 NEELY RD
Mc Guire Afb, NJ 08641
(609) 754-9464
✔ PECOS53 mi
Nurse Practitioner
NPI 1578915989
1 GATEWAY CTR STE 2600
Newark, NJ 07102
(888) 731-8994
✔ PECOS105 mi
Nurse Practitioner
NPI 1295281715
1 GATEWAY CTR STE 2600
Newark, NJ 07102
(888) 731-8994
✔ PECOS✔ Accepts Medicare105 mi
Chiropractic
NPI 1316026909
1044 S 88TH ST STE 109
Louisville, CO 80027
(303) 665-9549
1,620 mi

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 Active Health Marmora LLC's NPI number?

The NPI number for Active Health Marmora LLC is 1629707369. It was assigned to this organization in the NPPES registry on June 8, 2022. The provider is doing business as Active Joint And Spine Institute.

Where is Active Health Marmora LLC located?

Active Health Marmora LLC is located at 16 Roosevelt Blvd, Marmora, NJ 08223. The listed phone number is (609) 886-8585.

What is Active Health Marmora LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Active Health Marmora LLC enrolled in Medicare?

Yes. Active Health Marmora LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Health Marmora LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Active Health Marmora 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. The largest specialties are Chiropractic (6), Nurse Practitioner (5) and Occupational Therapist in Private Practice (4). Of these, 4 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 Active Health Marmora LLC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.