Individual provider Active NPI

Marissa B. Weiss-Baker, DO

  • Pediatrics Physician
  • Woolwich Township, NJ
National Provider Identifier
1972544062
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MB71280 Issued in NJ
Practice address
300 Lexington Rd Ste 200
Woolwich Township, NJ 08085-1278
Phone
(856) 241-2111
Fax
(856) 241-2243
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MB71280 NJ Primary

Addresses

Primary practice location

300 Lexington Rd Ste 200
Woolwich Township, NJ 08085-1278

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Other practice location 1

325 Marlton Pike E
Cherry Hill, NJ 08034-2408
Phone (856) 528-5370

Other practice location 2

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2816

Other identifiers 1

IdentifierTypeStateIssuer
8837309MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000058 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0244200509 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB71280NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. CurrentSince Aug 17, 2010 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2018 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Sep 1, 2018 Accepting new patients
Capital Health Multispecialty Group CurrentSince Sep 13, 2016 Accepting new patients
Hospitalists Emo, LLC Past Accepting new patients
Capital Emergency Physicians & Associates Past Accepting new patients
Capital Pediatric Hospitalists Pediatrics Past Accepting new patients
Tidal Emergency Physicians LLC Past Accepting new patients
Childway Pediatric Services, Inc. Past Accepting new patients
Capital Health System Pediatrics Past Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

832 Brunswick Ave
Trenton, NJ 08638
Phone (609) 396-2600

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

750 Brunswick Ave
#M
Trenton, NJ 08638
Phone (609) 394-6000

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

300 Lexington Rd
Ste 200
Woolwich Twp, NJ 08085
Phone (856) 241-2111

Interoperability endpoints

  • Direct secure messaging: marissa.weissbaker@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 11

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1972544062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD STE 200",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-241-2111",
            "fax_number": "856-241-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Marlton Pike E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-528-5370",
            "fax_number": "856-528-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Hurffville Cross Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122453",
            "country_code": "US",
            "telephone_number": "856-582-2816",
            "fax_number": "856-582-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS-BAKER",
        "first_name": "MARISSA",
        "middle_name": "B.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MB71280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8837309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woolwich Township, NJ

Sources for this page

Verify at the official NPI Registry.