Individual provider Active NPI

Marisa Frances Baldassano, M.D.

  • Dermatopathology Physician
  • Lower Gwynedd, PA
National Provider Identifier
1013965011
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD072857L Issued in PA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050324000092 NJ Practitioner - PathologyPractitioner - Dermatology 0143276097 Reassigns benefits to 3 organizations
I20050516000224 PA Practitioner - Pathology 0143276097 Reassigns benefits to 7 organizations
I20260424001716 NY Practitioner - Pathology 0143276097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Pennsylvania State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

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 100Reported as group
Quality
66.36
Improvement activities
40
Cost
90.95

Merit-based Incentive Payment System (MIPS)

Final score
98.41 of 100Reported as group
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

LicenseStateTypeSpecialty
MD072857LPAMDDermatopathology Physician
25MA07863000NJMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Mar 1, 2025 Accepting new patients
Tasker Healthcare Group PC CurrentSince Jan 1, 2022 Accepting new patients
NJ Certified Dermatology PC CurrentSince Mar 7, 2025 Accepting new patients
Baldassano Dermatopathology, PC Dermatopathology CurrentSince Jun 2, 2005 Accepting new patients
Bryn Mawr Dermatology, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Dermatology Specialists of Montgomery County PC Dermatopathology CurrentSince Oct 18, 2022 Accepting new patients
Center for Dermatology, Laser and Cosmetic Surgery LLC CurrentSince Mar 17, 2024 Accepting new patients
Institute for Dermatopathology, Inc. Past Accepting new patients
Dermatopathology Consultants, LLC Dermatopathology PastSince Apr 1, 2005 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.

View all 17

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

Verify at the official NPI Registry.