Provider Demographics
NPI:1689726374
Name:MARINA GALEA MD PC
Entity Type:Organization
Organization Name:MARINA GALEA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-687-6344
Mailing Address - Street 1:2143 MORRIS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6036
Mailing Address - Country:US
Mailing Address - Phone:908-687-6344
Mailing Address - Fax:908-687-6347
Practice Address - Street 1:2143 MORRIS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6036
Practice Address - Country:US
Practice Address - Phone:908-687-6344
Practice Address - Fax:908-687-6347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0684532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7340440OtherGHI IDENTIFIER
NJP3317302OtherOXFORD IDENTIFIER
NJ149496OtherVALUE OPTIONS IDENTIFIER
NJP3317302OtherOXFORD IDENTIFIER
NJG86605Medicare UPIN
NJ7340440OtherGHI IDENTIFIER