Marion R Massimiano, APN

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

26NN09058900 Issued in NJ

Practice address

65 Jimmie Leeds Road
Atlanticare Regional Medical Center Heart Institute
Pomona, NJ 08240

Phone

(609) 652-1000

NPI assigned

Jun 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578508891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N LITTLE ROCK AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JIMMIE LEEDS ROAD",
            "address_2": "ATLANTICARE REGIONAL MEDICAL CENTER HEART INSTITUTE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMIANO",
        "first_name": "MARION",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NJ",
            "license": "26NN09058900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn M Manaresi, CRNA
• Lisa Marie Mangino-Blanchard, CRNP
• Denise Marable
• Kristen Marsh
• Constance Martindale, LCSW
• Demetrios K. Mavroidis, M.D.
• Aniya S Mazyck
• Dana McCloskey, M.D.
• John Daymond McKee III, M.D.
• Taral Divyakant Mehta, MD

• Critical Care Medicine Nurse Practitioner in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Critical Care Medicine Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.