Marie Rose Fobben, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00632500 Issued in NJ

Practice address

128 Columbia Tpke Ste 200
Florham Park, NJ 07932-2283

Phone

(973) 736-9535

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Dermatology PAGroup PAC ID 8325061518, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.52 of 100Reported as group

Quality

89.03

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Center for Dermatology PA

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1073646212
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1356014518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBBEN",
        "first_name": "MARIE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00632500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florham Park Operator LLC (The Villa at Florham Park Rehabilitation and Healthcare Center)
• Florham Park Operator LLC (The Terraces at Florham Park)
• Florham Park Pediatrics
• Florham Park Surgery Center, LLC
• Siobhan Patricia Flynn-Higgins, LCSW
• Joseph P Fodero Jr., M.D.
• Foot and Ankle Care Center LLC
• Foot Care Clinic Inc
• Foot Clinic PC
• Taylor Forbes, PT, DPT

• Physician Assistant in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.

Verify at the official NPI Registry.