Active NPI
Marissa Leigh Ott, NP
- Addiction (Substance Use Disorder) Registered Nurse
- Newton, NJ
National Provider Identifier
1245875871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 26NR18464300
- Practice address
- 175 High St
Newton, NJ 07860-1004 - Phone
- (973) 579-8576
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01333700 | NJ | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 26NR18464300 | NJ | Primary |
Addresses
Primary practice location
175 High St
Newton, NJ 07860-1004
Mailing address
948 Fredon Rd
Newton, NJ 07860-4208
Phone (484) 201-1260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | NJ | INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.atlantichealth.org/ |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121
Hospital & facility affiliations
- Newton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18464300 | NJ | MD | Addiction (Substance Use Disorder) Registered Nurse |
| 26NJ01333700 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newton, NJ
- NPI 1790789212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1245875871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 FREDON RD",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078604208",
"telephone_number": "484-201-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HIGH ST",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078601004",
"telephone_number": "973-579-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "MARISSA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2022-08-02",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01333700",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "26NR18464300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.atlantichealth.org/",
"affiliation": "N",
"endpointDescription": "Hospital Website",
"address_1": "175 High St",
"city": "Newton",
"state": "NJ",
"country_code": "US",
"postal_code": "078601004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.