Active NPI
Mary Ann T Sciamanna, D.O.
- Family Medicine Physician
- Marlton, NJ
National Provider Identifier
1801876016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB05814800
- Practice address
- 525 Route 73 S
Suite 301
Marlton, NJ 08053-9642 - Phone
- (856) 596-1005
- Fax
- (856) 596-5870
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB05814800 | NJ | Primary |
Addresses
Primary practice location
525 Route 73 S
Suite 301
Marlton, NJ 08053-9642
Mailing address
525 Route 73 S
Suite 301
Marlton, NJ 08053-9642
Phone (856) 596-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6488005 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Primary Care Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1801876016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 ROUTE 73 S",
"address_2": "SUITE 301",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539642",
"telephone_number": "856-596-1005",
"fax_number": "856-596-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROUTE 73 S",
"address_2": "SUITE 301",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539642",
"telephone_number": "856-596-1005",
"fax_number": "856-596-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIAMANNA",
"first_name": "MARY ANN",
"middle_name": "T",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB05814800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6488005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.