Active NPI
Ann Maresca, PA C
- Medical Physician Assistant
- Wall Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00077600
- Practice address
- 1967 State Route 34 Ste 102
Wall Township, NJ 07719 - Phone
- (732) 345-1180
- Fax
- (732) 530-4476
- NPI assigned
- Oct 2, 2006
- Last updated
- Jan 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00077600 | NJ | Primary |
Addresses
Primary practice location
1967 State Route 34 Ste 102
Wall Township, NJ 07719
Mailing address
1967 Highway 34 Ste 102
Wall Township, NJ 07719-9738
Phone (732) 345-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- The Hahneman Medical College and Hospital, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Becks Woods Dr
Suite 201
Bear, DE 19701-3835
Phone (855) 932-7426
1197 Airport Rd
Suite 5
Milford, DE 19963-6491
Phone (855) 932-7426
750 Kings Hwy
Suite 104
Lewes, DE 19958-1772
Phone (855) 932-7426
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apico Pain Management, LLC | Current | Accepting new patients | |
| Outpatient Procedure Centers, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
100 Becks Woods Dr
Ste 201
Bear, DE 19701
Phone (843) 817-2730
750 Kings Hwy
Ste 104
Lewes, DE 19958
Phone (855) 932-7426
1197 Airport Rd
Ste 5
Milford, DE 19963
Phone (855) 932-7426
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Bear, DE
- NPI 1114667714
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dover, DE
- NPI 1689772576
-
- Pain Medicine Physician
- Milford, DE
- NPI 1316839830
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ambulatory Surgical Clinic/Center
- Wilmington, DE
- NPI 1063854628
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1346333879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 HIGHWAY 34 STE 102",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199738",
"telephone_number": "732-345-1180",
"fax_number": "732-530-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 STATE ROUTE 34 STE 102",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "07719",
"telephone_number": "732-345-1180",
"fax_number": "732-530-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARESCA",
"first_name": "ANN",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00077600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.