Active NPI
Maritime Radiology Associates PC
- Diagnostic Radiology Physician
- Fort Kent, ME
National Provider Identifier
1760628358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MARITIME RADIOLOGY ASSOCIATES PC
- Practice address
- 194 E Main St
Fort Kent, ME 04743-1428 - Phone
- (207) 834-3155
- Fax
- (443) 274-2589
- NPI assigned
- Jan 2, 2009
- Last updated
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glauco Michael Maresca, M.D.
- Title
- Owner/President
- Phone
- (315) 265-4924
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
194 E Main St
Fort Kent, ME 04743-1428
Mailing address
251 Najoles Rd Ste a
Millersville, MD 21108-2519
Phone (443) 274-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CA, WA, PA, MA, VA, OK, NY
Enrollment records 8
National Provider Directory
National Provider DirectoryLocations
251 Najoles Rd
Ste A
Millersville, MD 21108
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Cooperstown, NY
- NPI 1437415056
-
- Vascular & Interventional Radiology Physician
- Warsaw, NY
- NPI 1144420241
Diagnostic Radiology, ME, VA
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1457662520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1760628358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 NAJOLES RD STE A",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082519",
"telephone_number": "443-274-2888",
"fax_number": "443-274-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 E MAIN ST",
"city": "FORT KENT",
"state": "ME",
"postal_code": "047431428",
"telephone_number": "207-834-3155",
"fax_number": "443-274-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARITIME RADIOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-02",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "MARESCA",
"authorized_official_first_name": "GLAUCO",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "315-265-4924",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Kent, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.