Active NPI
Mariella Disturco
- Student in an Organized Health Care Education/Training Program
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (908) 216-5075
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
316 Cambourne Dr
Toms River, NJ 08753-1903
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695
Hospital & facility affiliations
- Saint Clare'S Hospital/ Denville Campus
- Morristown Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Morris County LLC | Current | Accepting new patients | |
| OB Hospitalist Services New Jersey, PA | Current | Accepting new patients | |
| Lifeline Medical Associates, LLC | Current | Accepting new patients |
Locations
16 Pocono Rd
Denville, NJ 07834
Phone (973) 625-5651
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
16 Pocono Rd
Ste 302
Denville, NJ 07834
Phone (973) 627-3411
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818
100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785
21 Mohawk Ave
Sparta, NJ 07871
Phone (973) 729-4211
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- mariella.disturco.1@27010.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1306208764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 CAMBOURNE DR",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087531903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "908-216-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISTURCO",
"first_name": "MARIELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.