Marissa Abatemarco
Individual provider Active NPI Counselor · Freehold, NJ
NPI 1588396147 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1588396147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4345 Route 9 N
Freehold, NJ 07728-4215 - Phone
- (732) 431-5300
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4345 Route 9 N
Freehold, NJ 07728-4215
Mailing address
200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone (732) 390-0007
Other practice location 1
200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone (732) 390-0007
NPI Registry JSON
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1588396147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WHITE RD STE 208",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391162",
"telephone_number": "732-390-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 ROUTE 9 N",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284215",
"telephone_number": "732-431-5300"
}
],
"practiceLocations": [
{
"address_1": "200 White Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Little Silver",
"state": "NJ",
"postal_code": "077391162",
"country_code": "US",
"telephone_number": "732-390-0007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABATEMARCO",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.