Active NPI
Daniel Christopher Marotta, M.D.
- Psychiatry Physician
- Upland, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD472304
- Practice address
- One Medical Center Blvd
Office Building 1, Suite 407
Upland, PA 19013 - Phone
- (610) 619-7413
- Fax
- (610) 874-7241
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD472304 | PA | Primary |
Addresses
Primary practice location
One Medical Center Blvd
Office Building 1, Suite 407
Upland, PA 19013
Mailing address
One Medical Center Blvd
Office Building 1, Suite 407
Upland, PA 19013
Phone (610) 619-7413
Other practice location 1
Baystate Medical Ctr
759 Chestnut Street
Springfield, MA 01199
Phone (413) 794-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD472304 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Ste 407
Chester, PA 19013
Phone (610) 619-7413
1 Medical Center Blvd
Ofc
Chester, PA 19013
Phone (610) 872-8200
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, PA
- NPI 1871948414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1972998532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER BLVD",
"address_2": "OFFICE BUILDING 1, SUITE 407",
"city": "UPLAND",
"state": "PA",
"postal_code": "19013",
"telephone_number": "610-619-7413",
"fax_number": "610-874-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER BLVD",
"address_2": "OFFICE BUILDING 1, SUITE 407",
"city": "UPLAND",
"state": "PA",
"postal_code": "19013",
"telephone_number": "610-619-7413",
"fax_number": "610-874-7241"
}
],
"practiceLocations": [
{
"address_1": "Baystate Medical Ctr",
"address_2": "759 Chestnut Street",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "01199",
"country_code": "US",
"telephone_number": "413-794-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAROTTA",
"first_name": "DANIEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD472304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.