Individual provider Active NPI

Ann Maresca, PA C

  • Medical Physician Assistant
  • Wall Township, NJ
National Provider Identifier
1346333879
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00077600 Issued in NJ
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040719000455 NJ Practitioner - Physician Assistant 8628057064
I20230913003281 DE Practitioner - Physician Assistant 8628057064 Reassigns benefits to 2 organizations

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
Apico Pain Management, LLCGroup PAC ID 7810374956, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Apico Pain Management, LLC CurrentSince Nov 1, 2024 Accepting new patients
Outpatient Procedure Centers, LLC PastSince Sep 3, 2025 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.