Paul Marquette, MD - Medicare Family Practice in Point Pleasant Boro, NJ

  1. Home
  2. Family Medicine
  3. NJ
  4. Point Pleasant Boro
Paul Marquette, MD is a medicare enrolled "Family Medicine" physician in Point Pleasant Boro, New Jersey. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hackensack Meridian Health Medical Group - Primary Care Pc and his current practice location is 1515 Richmond Ave, Point Pleasant Boro, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 295-0072.

Paul Marquette is licensed to practice in New Jersey (license number 25MA07324600) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831128727.

Contact Information

Paul Marquette, MD
1515 Richmond Ave,
Point Pleasant Boro, NJ 08742-3056
(732) 295-0072
(732) 295-0224

Map and Direction




Physician's Profile

Full NamePaul Marquette
GenderMale
SpecialityFamily Practice
Experience33 Years
Location1515 Richmond Ave, Point Pleasant Boro, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Marquette attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1991
  NPI Data:
  • NPI Number: 1831128727
  • Provider Enumeration Date: 07/02/2006
  • Last Update Date: 06/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6901828524
  • Enrollment ID: I20080625000502

Medical Identifiers

Medical identifiers for Paul Marquette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831128727NPI-NPPES
04-09466OtherEVERCARE
8765600MedicaidNJ
5221142040OtherBCBS OF NJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA07324600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack Meridian Health At Home Ocean CountyBrick, NJHome health agency
Vna Of Central Jersey Home Care & HospiceToms river, NJHome health agency
Ocean Medical CenterBrick, NJHospital
Jersey Shore University Medical CenterNeptune, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Primary Care Pc7911003330283

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Marquette allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Marquette is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Marquette, MD
5525 Research Park Drive, 4th Floor,
Baltimore, MD 21228-4664

Ph: (732) 643-2070		Paul Marquette, MD
1515 Richmond Ave,
Point Pleasant Boro, NJ 08742-3056

Ph: (732) 295-0072

Reviews and Comments


Family Medicine Doctors in Point Pleasant Boro, NJ

Dr. Monika L Finer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Richmond Ave, Point Pleasant Boro, NJ 08742
Phone: 732-295-0072    
Dr. Dean Alan Ambrose, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1204 Madison Ave, Point Pleasant Boro, NJ 08742
Phone: 856-430-7133    Fax: 732-899-0296

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.