Healthcare Provider Details

I. General information

NPI: 1851073324
Provider Name (Legal Business Name): CHRISTINA MARZELLI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 STATE ROUTE 35 STE 201
RED BANK NJ
07701-5922
US

IV. Provider business mailing address

385 TREMONT AVE
EAST ORANGE NJ
07018-1023
US

V. Phone/Fax

Practice location:
  • Phone: 732-842-9177
  • Fax: 732-892-3970
Mailing address:
  • Phone: 973-676-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00722300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: