Julian Mark Maressa, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MB055641 Issued in NJ

Practice address

181 W White Horse Pike
Suite 100
Berlin, NJ 08009-2032

Phone

(856) 767-3234

Fax

(856) 767-3518

NPI assigned

Aug 30, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1275643116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W WHITE HORSE PIKE",
            "address_2": "SUITE 100",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092032",
            "telephone_number": "856-767-3234",
            "fax_number": "856-767-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESSA",
        "first_name": "JULIAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MB055641",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MB055641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5321204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedra Lombardi
• Angela Luciano-Champoux, PT
• Fredric B. Ludwin, DO
• Chelsey A Mahon, PA
• Shelby Lynn Malsbury
• David Michael Martino Jr., LCSW
• Daniel Maurer, LPC, LCADC
• Richard M Mauriello, DO
• Douglas J. Mayer, MD
• Jenna L McDaniels, MA BCBA

• Adult Medicine Physician in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Adult Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.