Individual provider Active NPI

Marissa Lynne Botwinick

  • Pediatric Hematology & Oncology Physician
  • New Brunswick, NJ
National Provider Identifier
1659899268
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
25MA11499900 Issued in NJ
Practice address
195 Little Albany St
New Brunswick, NJ 08901-1914
Phone
(732) 235-5437
Fax
(732) 235-6462
NPI assigned
Sep 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 25MA11499900 NJ Primary

Addresses

Primary practice location

195 Little Albany St
New Brunswick, NJ 08901-1914

Mailing address

195 Little Albany St Ste 2900
New Brunswick, NJ 08901-1914
Phone (732) 235-2465

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902000413 NJ Practitioner - Pediatric Medicine 6103200563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MA11499900NJMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2022 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients

Locations

195 Little Albany St
Ste 2900
New Brunswick, NJ 08901
Phone (732) 235-2465

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

Interoperability endpoints

  • Direct secure messaging: mbotwinick134179@epicdirect.rwjbh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1659899268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST STE 2900",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-2465",
            "fax_number": "732-235-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-5437",
            "fax_number": "732-235-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTWINICK",
        "first_name": "MARISSA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NJ",
            "license": "25MA11499900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.