Active NPI
Marissa Elise Nowowiejski
- Mental Health Counselor
- Newark, NJ
National Provider Identifier
1487510202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37FA00053400
- Practice address
- 550 Broad St Ste 606
Newark, NJ 07102-4537 - Phone
- (425) 458-8525
- NPI assigned
- Dec 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37FA00053400 | NJ | Primary |
Addresses
Primary practice location
550 Broad St Ste 606
Newark, NJ 07102-4537
Mailing address
325 Elizabeth Ave
Bayville, NJ 08721-3277
Phone (732) 597-6561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FA00053400 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLS Medical PC | Current | Accepting new patients |
Locations
550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Newark, NJ
- NPI 1164007043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1487510202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 ELIZABETH AVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087213277",
"telephone_number": "732-597-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BROAD ST STE 606",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024537",
"telephone_number": "425-458-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWOWIEJSKI",
"first_name": "MARISSA",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-26",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37FA00053400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.