Individual provider Active NPI

Marissa Leigh Ott, NP

  • Addiction (Substance Use Disorder) Registered Nurse
  • Newton, NJ
National Provider Identifier
1245875871
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
26NR18464300 Issued in NJ
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

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0OtherNJINSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503003596 NJ Practitioner - Nurse Practitioner 5991160566 Reassigns benefits to 1 organization

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 Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR18464300NJMDAddiction (Substance Use Disorder) Registered Nurse
26NJ01333700NJMDPsychiatric/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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.