Active NPI
Marc D Fisicaro, M.D.
- Anesthesiology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08571900
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (800) 826-6737
- NPI assigned
- May 17, 2007
- Last updated
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MT186697 | PA | |
| Anesthesiology Physician | 207L00000X | MD437252 | PA | |
| Anesthesiology Physician | 207L00000X | 25MA08571900 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924
Other practice location 1
111 S 11th St
Suite 8490
Philadelphia, PA 19107
Phone (215) 955-6161
Other practice location 2
111 S 11th St
Suite 8490
Philadelphia, PA 19107
Phone (215) 955-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239372 | Medicaid | NJ | |
| 102496613 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 346-6000
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500
3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (833) 958-2198
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD437252 | PA | MD | Anesthesiology Physician |
| MT186697 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Anesthesia Group, PA | Anesthesiology | Current | Accepting new patients |
| Jefferson University Physicians | Anesthesiology | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Rancocas Anesthesiology, P.a. | Current | Accepting new patients | |
| Cooper Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Morris Anesthesia Group, PA | Current | Accepting new patients | |
| CHC Pain Management Center, PA | Current | Accepting new patients | |
| Methodist Associates in Healthcare of New Jersey, P.C. | Current | Accepting new patients | |
| Methodist Associates in Healthcare of New Jersey, P.C. | Anesthesiology | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Current | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919
130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140
900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535
900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565
218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900
218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
10 Presidential Blvd
Ste 200
Belmont Hills, PA 19004
Phone (610) 538-6055
111 S 11th St
#8490
Philadelphia, PA 19107
Phone (215) 955-6161
111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Community Physicians of New Jersey
- Cardiovascular Disease Physician
- Robbinsville, NJ
- NPI 1649636754
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Camden, NJ
- NPI 1538109913
-
- Critical Care Medicine (Internal Medicine) Physician
- Camden, NJ
- NPI 1679605554
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
- Anesthesiology Physician
- Parsippany, NJ
- NPI 1194728501
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Anesthesiology
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Sewell, NJ
- NPI 1568078095
-
- Pain Medicine (Anesthesiology) Physician
- Brick, NJ
- NPI 1477942423
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1881801850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-356-4924",
"fax_number": "856-356-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "800-826-6737"
}
],
"practiceLocations": [
{
"address_1": "111 S 11th St",
"address_2": "Suite 8490",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19107",
"country_code": "US",
"telephone_number": "215-955-6161",
"fax_number": "215-923-5507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S 11th St",
"address_2": "Suite 8490",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19107",
"country_code": "US",
"telephone_number": "215-955-6161",
"fax_number": "215-923-5507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISICARO",
"first_name": "MARC",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MT186697",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD437252",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08571900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239372",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102496613",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.