Active NPI
Marisa Frances Baldassano, M.D.
- Dermatopathology Physician
- Lower Gwynedd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- MD072857L
- Practice address
- 101 Hillcrest Lane
Lower Gwynedd, PA 19002 - Phone
- (215) 628-0855
- Fax
- (215) 628-3559
- NPI assigned
- May 4, 2006
- Last updated
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | MD072857L | PA | Primary |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25MA07863000 | NJ | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 208716 | NY |
Addresses
Primary practice location
101 Hillcrest Lane
Lower Gwynedd, PA 19002
Mailing address
101 Hillcrest LN
Lower Gwynedd, PA 19002-1959
Phone (215) 628-0855
Other practice location 1
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 831-6813
Other practice location 2
410 W Linfield Trappe Rd Ste 240
Limerick, PA 19468-4203
Phone (610) 495-6500
Other practice location 3
5325 Northgate Drive
Ste 205
Bethlehem, PA 18017-9416
Phone (610) 936-8050
Other practice location 4
1225 McBride Ave
Woodland Park, NJ 07424-3812
Phone (908) 277-8699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Pennsylvania State University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
101 Hillcrest LN
Lower Gwynedd, PA 19002-1959
Phone (215) 628-0855
775 E Lancaster Ave
Suite 200
Villanova, PA 19085-1529
Phone (610) 525-7800
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.83 of 100
- Quality
- 66.36
- Improvement activities
- 40
- Cost
- 90.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.41 of 100
- Quality
- 97.11
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD072857L | PA | MD | Dermatopathology Physician |
| 25MA07863000 | NJ | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Certified Dermatology PC | Current | Accepting new patients | |
| Tasker Healthcare Group PC | Current | Accepting new patients | |
| NJ Certified Dermatology PC | Current | Accepting new patients | |
| Baldassano Dermatopathology, PC | Dermatopathology | Current | Accepting new patients |
| Bryn Mawr Dermatology, P.C. | Current | Accepting new patients | |
| Dermatology Specialists of Montgomery County PC | Dermatopathology | Current | Accepting new patients |
| Center for Dermatology, Laser and Cosmetic Surgery LLC | Current | Accepting new patients | |
| Institute for Dermatopathology, Inc. | Past | Accepting new patients | |
| Dermatopathology Consultants, LLC | Dermatopathology | Past | Accepting new patients |
| Institute for Dermatopathology, Inc. | Past | Accepting new patients | |
| Dermatopathology Consultants, LLC | Past | Accepting new patients | |
| Retinovitreous Associates LTD | Past | Accepting new patients |
Locations
4 Camac Ave
Mays Landing, NJ 08330
Phone (609) 829-1100
26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299
200 Perrine Rd
Ste 226
Old Bridge, NJ 08857
1580 Lakewood Rd
Ste 16
Toms River, NJ 08755
1580 Lakewood Rd
Ste 16A
Toms River, NJ 08755
Phone (732) 966-5493
2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100
2895 Hamilton Blvd
Ste 202
Allentown, PA 18104
Phone (610) 432-8312
599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440
281 N 12th St
Ste 2B
Lehighton, PA 18235
Phone (610) 377-0990
65 E Butler Ave
Ste 202
New Britain, PA 18901
Phone (215) 836-7212
915 Montgomery Ave
Ste 204
Penn Valley, PA 19072
Phone (610) 664-4433
9892 Bustleton Ave
Ste 204
Philadelphia, PA 19115
Phone (215) 676-2464
410 W Linfield Trappe Rd
Ste 240
Royersford, PA 19468
Phone (610) 474-2767
775 E Lancaster Ave
Ste 200
Villanova, PA 19085
Phone (610) 525-7800
910 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 233-4300
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatopathology Physician
- Lower Gwynned, PA
- NPI 1427000686
-
- Dermatology Physician
- Villanova, PA
- NPI 1750448924
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1942340542
-
- Dermatology Physician
- Limerick, PA
- NPI 1902359912
Dermatopathology
-
dba Dedicated Dermatology
- Dermatology Physician
- Allentown, PA
- NPI 1326496241
-
- Dermatology Physician
- Neptune, NJ
- NPI 1003263807
-
- Dermatology Physician
- Lancaster, PA
- NPI 1891766424
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Anatomic Pathology & Clinical Pathology Physician
- Edison, NJ
- NPI 1396858791
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1013965011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HILLCREST LN",
"city": "LOWER GWYNEDD",
"state": "PA",
"postal_code": "190021959",
"telephone_number": "215-628-0855",
"fax_number": "215-628-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HILLCREST LANE",
"city": "LOWER GWYNEDD",
"state": "PA",
"postal_code": "19002",
"telephone_number": "215-628-0855",
"fax_number": "215-628-3559"
}
],
"practiceLocations": [
{
"address_1": "210 Westchester Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106042901",
"country_code": "US",
"telephone_number": "914-831-6813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 W Linfield Trappe Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Limerick",
"state": "PA",
"postal_code": "194684203",
"country_code": "US",
"telephone_number": "610-495-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 Northgate Drive",
"address_2": "Ste 205",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180179416",
"country_code": "US",
"telephone_number": "610-936-8050",
"fax_number": "610-936-8051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 McBride Ave",
"address_purpose": "LOCATION",
"city": "Woodland Park",
"state": "NJ",
"postal_code": "074243812",
"country_code": "US",
"telephone_number": "908-277-8699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDASSANO",
"first_name": "MARISA",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "PA",
"license": "MD072857L",
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NJ",
"license": "25MA07863000",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NY",
"license": "208716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lower Gwynedd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.