Individual provider Active NPI

Mario Lucio Grasso, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1972664522
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08550900 Issued in NJ
Practice address
3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone
(215) 662-3793
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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 MT186316 PA
Anesthesiology Physician 207L00000X 25MA08550900 NJ Primary
Anesthesiology Physician 207L00000X 251884-1 NY

Addresses

Primary practice location

3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206

Mailing address

31 Ward PL
South Orange, NJ 07079-2529
Phone (973) 856-1934

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
I20091120000653 NJ Practitioner - Anesthesiology 6406995083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians
Morris Anesthesia Group PAGroup PAC ID 4284628645, 34 clinicians

Practice addresses (Care Compare)

1 Plaza Dr
Unit 2
Toms River, NJ 08757-3762
Phone (732) 264-1127

25 Pocono Rd
Denville, NJ 07834-2954
Phone (833) 783-1796

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08550900NJMDAnesthesiology Physician
251884-1NYMDAnesthesiology Physician
MT186316PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Nov 2, 2009 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Mar 20, 2022 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

3700 State Route 33
Ste LL01
Neptune, NJ 07753

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

1 Plaza Dr
Unit 2
Toms River, NJ 08757
Phone (732) 691-4898

101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256

Organizations & group practices 4

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 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1972664522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WARD PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792529",
            "telephone_number": "973-856-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 MALONEY BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "MARIO",
        "middle_name": "LUCIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT186316",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08550900",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "251884-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.