Active NPIIndividual providerSole proprietor

Mariella Disturco

Obstetrics & Gynecology in Sparta, New Jersey

NPI Number1306208764
Practice location
21 Mohawk Ave, Sparta, NJ 07871-1808
Fax
—
Last updated
October 24, 2026

Mariella Disturco is an Obstetrics & Gynecology based in Sparta, NJ. Mariella Disturco practices in Sparta, NJ. The NPI Number for Mariella Disturco is 1306208764 and holds a License No. 25MA12156300 (NJ). The current practice location address for Mariella Disturco is 21 Mohawk Ave, Sparta, NJ 07871-1808 and can be reached out via phone at 973-729-4211.

Provider Profile Details

NPI Number
1306208764
Provider Name
Mariella Disturco
Provider Entity Type
Individual
Gender
Female
Address
21 Mohawk Ave, Sparta, NJ 07871-1808
Phone Number
973-729-4211
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2016
Last Update Date
October 24, 2026
Certification Date
October 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Mohawk Ave
Sparta, NJ 07871-1808
City
Sparta
Zip
07871-1808
Phone Number
973-729-4211
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
316 Cambourne Dr
Toms River, NJ 08753-1903
City
Toms River
State
NJ
Zip
08753-1903

License Information

License Number
25MA12156300
License State
NJ
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mariella Disturco?

The NPI number of Mariella Disturco is 1306208764. It was assigned on March 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Mariella Disturco?

Mariella Disturco is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number 25MA12156300.

Where does Mariella Disturco practice?

The practice location is 21 Mohawk Ave, Sparta, NJ 07871-1808. The office can be reached at 973-729-4211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306208764 directly on the NPPES registry website.

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