Individual provider Active NPI

Gabriela Marie Marigliano, PA-C

  • Physician Assistant
  • Atlantic City, NJ
National Provider Identifier
1811597305
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00586800 Issued in NJ
Practice address
7 S Ohio Ave
Atlantic City, NJ 08401-6711
Phone
(609) 572-8686
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA007122 PA
Physician Assistant 363A00000X MA062201 PA
Physician Assistant 363A00000X 25MP00586800 NJ Primary

Addresses

Primary practice location

7 S Ohio Ave
Atlantic City, NJ 08401-6711

Mailing address

100 Creek CT
Absecon, NJ 08201-1339
Phone (609) 827-0211

Other practice location 1

3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708
Phone (609) 383-3800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216000271 NJ Practitioner - Physician Assistant 7012329097 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00586800NJMDPhysician Assistant
MA062201PAMDPhysician Assistant
OA007122PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Health Services, Inc. CurrentSince Jan 29, 2023 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Jan 29, 2023 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients
Advocare, LLC Past Accepting new patients
Atlanticare Health Services, Inc. PastSince May 12, 2024 Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

7 S Ohio Ave
Ste 2100
Atlantic City, NJ 08401
Phone (609) 441-8146

7 S Ohio Ave
Ste 3100
Atlantic City, NJ 08401
Phone (609) 572-8686

Interoperability endpoints

  • Direct secure messaging: gabriela.marigliano@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 8

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1811597305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CREEK CT",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011339",
            "telephone_number": "609-827-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S OHIO AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016711",
            "telephone_number": "609-572-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3069 English Creek Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082349708",
            "country_code": "US",
            "telephone_number": "609-383-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIGLIANO",
        "first_name": "GABRIELA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007122",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062201",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00586800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.