NPIMap

Individual provider Active NPI

Amber Rose Maruca

  • Physician Assistant
  • Cresson, PA
National Provider Identifier
1912435322
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
815 2ND St
Cresson, PA 16630-1141
Phone
(814) 215-3492
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

815 2ND St
Cresson, PA 16630-1141

Mailing address

815 2ND St
Cresson, PA 16630-1141
Phone (814) 534-9000

Other practice location 1

478 Seminary Street
Cassville, PA 16623
Phone (814) 448-9226 ext. 1709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219002313 PA Practitioner - Physician Assistant 9335407444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1111 Franklin St
Johnstown, PA 15905-4341

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

815 2ND St
Conemaugh Phys GRP
Cresson, PA 16630-1141
Phone (814) 886-2911

823 2ND St
Cresson, PA 16630-1141
Phone (814) 886-2911

Hospital & facility affiliations

  • Upmc Home Healthcare of Central Pennsylvania Home health agency, Altoona, PA, CCN 397087
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Feb 11, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 11, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

815 2nd St
Cresson, PA 16630
Phone (814) 215-3492

823 2nd St
Cresson, PA 16630
Phone (814) 886-2911

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: amaruca37465@direct.conemaugh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1912435322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301141",
            "telephone_number": "814-534-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301141",
            "telephone_number": "814-215-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "478 Seminary Street",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "PA",
            "postal_code": "16623",
            "country_code": "US",
            "telephone_number": "814-448-9226 x1709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARUCA",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, PA

Sources for this page

Verify at the official NPI Registry.