MARC VANILLO
NPI 1770286668
Nurse Practitioner - Gerontology in Somerville, NJ

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
110 REHILL AVE, SOMERVILLE, NJ 08876(908) 685-2200 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About Marc Vanillo NPPES

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

MARC VANILLO (NPI 1770286668) is an individual gerontology provider in Somerville, New Jersey, licensed in New Jersey (26NJ01461700) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770286668
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMARC VANILLO
Location Address110 REHILL AVESomerville, NJ 08876-2519
Mailing Address6400 Sw 20th Ave Apt 108Gainesville, FL 32607-3525 · (917) 544-4844
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1770286668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in NJ · 26NJ01461700✔ Licensed in FL · 11024787
110 REHILL AVE, Somerville, NJ 08876

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Vanillo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901262583
PECOS Enrollment IDI20230524002206
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Marc Vanillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Neurology
2454 N MCMULLEN BOOTH RD STE 606
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida and New Jersey enrollments
  • 11 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
110 REHILL AVE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVE
SOMERVILLE, NJ 08876
Physical Therapist
110 REHILL AVE
SOMERVILLE, NJ 08876
Student in an Organized Health Care Education/Training Program
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876

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 Marc Vanillo's NPI number?

The NPI number for Marc Vanillo is 1770286668. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Marc Vanillo located?

Marc Vanillo practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (908) 685-2200.

What is Marc Vanillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Marc Vanillo enrolled in Medicare?

Yes. Marc Vanillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marc Vanillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Vanillo reassigns Medicare benefits to 4 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ) and Daniel Korya MD LLC (Clearwater, FL). Each 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 Marc Vanillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marc Vanillo affiliated with any hospitals?

According to CMS data, Marc Vanillo is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Vanillo was last updated on June 24, 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.