MATTHEW GRUEN MARIN M.D. NPI 1083649677

NPI Information

NPI: 1083649677
Provider Name: MATTHEW GRUEN MARIN, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107
Phone: (973) 972-0037
Get Directions

Matthew Gruen Marin, M.D. is a pulmonary disease internal medicine in Newark, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Matthew Gruen Marin, M.D. NPI is 1083649677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107-000
Phone: (973) 972-0037

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	25MA06092200	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D01682	MEDICARE UPIN	NEW JERSEY
2	6272606	MEDICAID	NEW JERSEY
3	026984	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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