Marisa A Roche, P.A.

Key facts

NPI

1376575878

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

MA051545 (PA)

Practice address

800 Spruce St
Philadelphia, PA 19107-6130

Phone

(215) 829-2499

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Aria Health Orthopaedics Orthopaedic Surgery Physician · Langhorne, PA · NPI 1376895342
  Medicare reassignment Care Compare group PA
• Aria Health Physician Services Family Medicine Physician · Richboro, PA · NPI 1750949806
  Medicare reassignment PA
• Aria Health Physician Services Family Medicine Physician · Philadelphia, PA · NPI 1053181297
  NPD
• Aria Health Physician Services Surgery Physician · Langhorne, PA · NPI 1114981123
  NPD
• Aria Health Physician Services Orthopaedic Surgery Physician · Langhorne, PA · NPI 1982196036
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Health - Northeast General Acute Care Hospital · Philadelphia, PA · NPI 1801963343
  Care Compare affiliation Name & address match Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Health Orthopaedics (18 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Health- Northeast Hospital · Philadelphia, PA · CCN 390115

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Marisa Marsicano Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2009.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1376575878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828079",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "MARISA",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "MARSICANO",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Philadelphia, PA · Medical Physician Assistant in Pennsylvania