Healthcare Provider Details

I. General information

NPI: 1649225236
Provider Name (Legal Business Name): ARTURO L MARRERO-FIGARELLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 2ND ST DEPT OF PSYCH
HACKENSACK NJ
07601-2050
US

IV. Provider business mailing address

528 WINDSOR DR
PALISADES PARK NJ
07650-2350
US

V. Phone/Fax

Practice location:
  • Phone: 201-996-5994
  • Fax:
Mailing address:
  • Phone: 201-996-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA04502500
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: