Active Health Marmora LLC
NPI 1629707369ActiveOrganization· Family Medicine· Marmora, NJ
Family Medicine in Marmora, New Jersey, registered in NPPES in June 2022. The authorized official on file is Robert Olivieri, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629707369 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2022 |
| Last updated in NPPES | Jun 8, 2022 |
| Certified by provider | Jun 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Chiropractor | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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