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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760628358 | Medicaid | ME |
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
10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082
1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760628358",
"state": "ME"
}
],
"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.