Marco J. Cerasoli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0000211 Issued in DE

Practice address

2600 Glasgow Avenue
Suite 100
Newark, DE 19702-4773

Phone

(302) 836-8350

Fax

(302) 836-8359

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marco.cerasoli@ghuccc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867
  Medicare reassignment Care Compare group
• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)
• Delmar Emergency Specialists PA

  • Emergency Medicine Physician
  • Elkton, MD
  • NPI 1851361224
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1164440392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DRIVE",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVENUE",
            "address_2": "SUITE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-836-8350",
            "fax_number": "302-836-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASOLI",
        "first_name": "MARCO",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C50000211",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Cavasmi
• Matthew Cecchett
• Center for Airway and Facial Development LLC
• Center for Child Development, Incorporated
• Center for Interventional Pain Spine LLC
• Adam J Cerri, LCSW
• Moon Chan Cha, D.M.D
• Varun Chahal, DO
• Jennifer Chalmers, MS, ATC, LAT
• Alyson Leigh Chambers, PA-C

• Physician Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.