Marisa Autera

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40QA02178000 Issued in NJ

Practice address

80 Oak Hill Rd
Red Bank, NJ 07701-5727

Phone

(732) 784-4321

NPI assigned

Jun 26, 2023

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233
  Medicare reassignment NPD

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1417633256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HORNSBY ST",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631945",
            "telephone_number": "732-770-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-784-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTERA",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA02178000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Dermatologists of Monmouth P C
• Associated Pain Specialists Spine
• Atlantic ENT Group LLC
• Gail Auster, M.D.
• Rhica May Austin
• Megan Fogarty Avila, OTR/L
• Awakened Counseling LLC
• Taha Awan
• Zaven S Ayanian, M.D.
• Maria Bernadette Azcarraga, PHYSICAL THERAPIST

• Physical Medicine & Rehabilitation Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.