Individual provider Active NPI

Haley Marttila, PA-C

  • Physician Assistant
  • Toms River, NJ
National Provider Identifier
1417711052
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00857000 Issued in NJ
Practice address
9 Mule Rd Ste 1E
Toms River, NJ 08755-5052
Phone
(732) 281-1101
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 25MP00857000 NJ Primary

Addresses

Primary practice location

9 Mule Rd Ste 1E
Toms River, NJ 08755-5052

Mailing address

9 Mule Rd Ste 1E
Toms River, NJ 08755-5052
Phone (732) 281-1101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241004002762 NJ Practitioner - Physician Assistant 3274064951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians
Shore Heart Group, PAGroup PAC ID 1557268448, 36 clinicians

Practice addresses (Care Compare)

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 281-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1417711052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULE RD STE 1E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555052",
            "telephone_number": "732-281-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MULE RD STE 1E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555052",
            "telephone_number": "732-281-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTTILA",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00857000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.