Mary Addezio, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15249300 Issued in NJ

Practice address

1 Hamilton Health PL
Trenton, NJ 08690-3542

Phone

(856) 979-7939

NPI assigned

Jun 16, 2025

Last updated

Sep 19, 2025By 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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259
  Medicare reassignment Care Compare group NPD
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1073409991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARSHALL WAY",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080888740",
            "telephone_number": "856-979-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMILTON HEALTH PL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "856-979-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1374 Whitehorse Hamilton Square Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086903701",
            "country_code": "US",
            "telephone_number": "609-586-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDEZIO",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15249300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acme Markets Inc (Acme Pharmacy #2914)
• Talar Acob
• Ali Adam, M.D.
• Valaria Adams-Johnson
• Amoke Adams, RD, LDN
• Rachel Addy, PHARM.D.
• Olubunmi Abeke Adeoye, MD
• Manish Adhikari, M.D.
• Ayesha Saleem Adil, M.D.
• Advance Spine and Pain Physical Therapy, LLC

• Family Nurse Practitioner in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.