Individual provider Active NPI

Michael Ryan Pascarella, D.O., J.D.

  • Anesthesiology Physician
  • Marlton, NJ
National Provider Identifier
1043538424
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB09417500 Issued in NJ
Practice address
102E Centre Blvd
Marlton, NJ 08053
Phone
(856) 988-6260
NPI assigned
May 11, 2010
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB09417500 NJ Primary

Addresses

Primary practice location

102E Centre Blvd
Marlton, NJ 08053

Mailing address

102E Centre Blvd
Marlton, NJ 08053
Phone (856) 988-6260

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728000341 NJ Practitioner - Anesthesiology 0941426076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rowan University School of Osteopathic Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Federal St
Suite 200
Camden, NJ 08103-1005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
73.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Juris Doctor

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Anesthesia Associates, PC Anesthesiology CurrentSince Jun 16, 2023 Accepting new patients
West Jersey Anesthesia Associate PA Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770

501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-3000

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (609) 325-6505

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

Interoperability endpoints

  • Direct secure messaging: mpascarella168276@direct.cooperhealth.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1043538424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102E CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-988-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102E CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-988-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB09417500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.