Active NPI
Mario Lucio Grasso, M.D.
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08550900
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08550900 | NJ | MD | Anesthesiology Physician |
| 251884-1 | NY | MD | Anesthesiology Physician |
| MT186316 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Morris Anesthesia Group, PA | Current | Accepting new patients | |
| Morris Anesthesia Group, PA | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Parsippany, NJ
- NPI 1194728501
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Pain Medicine (Anesthesiology) Physician
- Brick, NJ
- NPI 1477942423
-
- Ambulatory Surgical Clinic/Center
- Neptune, NJ
- NPI 1316219470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.