Marissa Nicole Ionno, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00421200 Issued in NJ

Practice address

100 Kings Way E Ste A3
Washington Pavilions
Sewell, NJ 08080-2237

Phone

(856) 589-3331

Fax

(856) 589-3416

NPI assigned

Dec 28, 2016

Last updated

Dec 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Center of Washington Township PCGroup PAC ID 2769419860, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.2 of 100Reported as group

Quality

95.77

Promoting interoperability

100

Improvement activities

40

Cost

71.57

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dermatology Center of Washington Township PC

  • Dermatology Physician
  • Sewell, NJ
  • NPI 1508953035
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1033654140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE A3",
            "address_2": "WASHINGTON PAVILIONS",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-589-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E STE A3",
            "address_2": "WASHINGTON PAVILIONS",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-589-3331",
            "fax_number": "856-589-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONNO",
        "first_name": "MARISSA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00421200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Imparato, PHARMD
• Khristopher Inman
• Integrated Foot and Ankle Specialists of NJ LLC
• Integrative Psychology Associates of South Jersey , LLC
• Intergrative Physician Consultant Group LLC (The Center for Healing Light & Integrative Medicine)
• Jason Irlich, PHARMD
• Jennifer Kaitlyn Irlich, OTR-L
• Jamie L Iuliucci, CPNP
• J. Christopher Connor, D.P.M., P.a
• Jack Gold Surgical Appliances, Inc. (AlliedOP, Inc.)

• Medical Physician Assistant in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.

Verify at the official NPI Registry.