Mia Sarah Marchisello, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14100313 Issued in NJ

Practice address

314 Central Ave
Linwood, NJ 08221-2005

Phone

(609) 365-8499

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group NPD
• Body in Balance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1932397643
  Medicare reassignment NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1457979403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEMLOCK DR # DE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123127",
            "telephone_number": "609-970-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212005",
            "telephone_number": "609-365-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHISELLO",
        "first_name": "MIA",
        "middle_name": "SARAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "14100313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainland Wellness and Rehabilitation Center,LLC
• Maldonado-Britt & Associates, LLP
• Eleanor Callio Maldonado, LCSW
• Dordaneh Maleki, M.D.
• Patricia Maletto, MA-CCC/SLP
• Maria a Kleiber MD PA
• Marianne Sturr, LLC
• Marvin R. Hyett, M.D., P.a.
• Nicolette Masino, MS, CCC-SLP
• Maxim Healthcare Services, Inc.

• Speech-Language Pathologist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.