Individual provider Active NPI

Marc D Fisicaro, M.D.

  • Anesthesiology Physician
  • Camden, NJ
National Provider Identifier
1881801850
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08571900 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(800) 826-6737
NPI assigned
May 17, 2007
Last updated
May 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0239372MedicaidNJ
102496613MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091001000034 NJ Practitioner - Anesthesiology 9133265325 Reassigns benefits to 5 organizations
I20091217000520 PA Practitioner - Anesthesiology 9133265325 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
MD437252PAMDAnesthesiology Physician
MT186697PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Dec 31, 2018 Accepting new patients
Jefferson University Physicians Anesthesiology CurrentSince Aug 24, 2010 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 16, 2020 Accepting new patients
Rancocas Anesthesiology, P.a. CurrentSince Oct 25, 2009 Accepting new patients
Cooper Anesthesia Associates, PC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Dec 31, 2018 Accepting new patients
CHC Pain Management Center, PA CurrentSince Apr 1, 2017 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 16, 2020 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.