Active NPIIndividual provider

Marissa F Maddalena, PA-C

Physician Assistant, Medical in Berkeley Heights, New Jersey

NPI Number1689023400
Practice location
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Fax
—
Last updated
April 8, 2024

Marissa Faith Maddalena is a Physician Assistant, Medical based in Berkeley Heights, NJ. Marissa Faith Maddalena practices in Berkeley Heights, NJ and has the professional credentials of PA-C. The NPI Number for Marissa Faith Maddalena is 1689023400 and holds a License No. 25MP00398400 (NJ). The current practice location address for Marissa Faith Maddalena is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104 and can be reached out via phone at 908-273-4300.

Provider Profile Details

NPI Number
1689023400
Provider Name
Marissa Faith Maddalena
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104
Phone Number
908-273-4300
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2016
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
Zip
07922-2104
Phone Number
908-273-4300
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
18 Midway Dr
Livingston, NJ 07039-4338
City
Livingston
State
NJ
Zip
07039-4338
Phone Number
908-358-8753

License Information

License Number (1)
25MP00398400
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00398400
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Marissa F Maddalena, PA-C?

The NPI number of Marissa F Maddalena, PA-C is 1689023400. It was assigned on June 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Marissa F Maddalena, PA-C?

Marissa F Maddalena, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00398400.

Where does Marissa F Maddalena, PA-C practice?

The practice location is 1 Diamond Hill RD, Berkeley Heights, NJ 07922-2104. The office can be reached at 908-273-4300 (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 1689023400 directly on the NPPES registry website.

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