MARCO ANTONIO PELOSI III MD
NPI 1063531556
Obstetrics & Gynecology - Gynecology in Bayonne, NJ

NPI Status: Active since March 28, 2007

Contact Information

350 KENNEDY BLVD
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-1800
Fax: (201) 858-1002

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  • Individual
  • Male
  • Obstetrics & Gynecology
  • Gynecology
  • PECOS Enrolled

About MARCO PELOSI

This page provides the complete NPI Profile along with additional information for Marco Pelosi, a women's health care provider established in Bayonne, New Jersey with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1063531556 assigned on March 2007. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1063531556
Provider Name
MARCO ANTONIO PELOSI III MD
Gender
Male
Entity Type
Individual
Location Address
350 KENNEDY BLVD BAYONNE, NJ 07002
Location Phone
(201) 858-1800
Location Fax
(201) 858-1002
Mailing Address
350 KENNEDY BLVD BAYONNE, NJ 07002
Mailing Phone
(201) 858-1800
Mailing Fax
(201) 858-1002
Is Sole Proprietor?
No
Enumeration Date
03-28-2007
Last Update Date
07-08-2024
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Women's health care providers like Marco Pelosi treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License State
NJ
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

Marco Pelosi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 34 times for 34 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 21 times for 20 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 26 times for 24 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 33 times for 33 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07002 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.86
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $36.21
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $79.09
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $19.77
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063531556
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231032510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 0 + 3 + 2 + 5 + 1 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1063531556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699762963DR. M. PELOSI, MD PA
Organization
Obstetrics & Gynecology (Gynecology)350 KENNEDY BLVD
BAYONNE, NJ 07002
(201) 858-1800
1356459796JAY M ZELINSKI D.O. PHD P.C.
Organization
Internal Medicine (Gastroenterology)350 KENNEDY BLVD
BAYONNE, NJ 07002
(201) 243-0445
1275652745DR. MARCO ANTONIO PELOSI II MD
Individual
Obstetrics & Gynecology (Gynecology)350 KENNEDY BLVD
BAYONNE, NJ 07002
(201) 858-1800
1184806309DR. JAY MICHAEL ZELINSKI D.O.
Individual
Internal Medicine (Gastroenterology)350 KENNEDY BLVD
BAYONNE, NJ 07002
(201) 243-0445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063531556, enumerated in the NPI registry as an "individual" on March 28, 2007

The provider is located at 350 Kennedy Blvd Bayonne, Nj 07002 and the phone number is (201) 858-1800

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $144.86 with an average copayment of $36.21 for new patient appointments. Established patients should expect a typical charge of $79.09 and an average copayment of 19.77. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.

This NPI record was last updated on March 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.