MR. MARISSA M MUCCIO (NPI# 1396872297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396872297 |
| Entity Type | Individual |
| Full Name | MR. MARISSA M MUCCIO |
| Credential | PT |
| Practice Address |
309 Black Oak Ridge Rd Wayne NJ 07470-6504 |
| Practice Telephone | 9736929072 |
| Practice Fax Number | 9736929071 |
| Mailing Telephone | 9736929072 |
| Mailing Fax Number | 9736929071 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT40QA00794200 | NJ | Other Service Providers |
| Street Address |
309 BLACK OAK RIDGE RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336299114 | Faith Elise Bell | Speech-Language Pathologist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2007-01-12 |
| 1528468931 | Rebecca Pacailler | Health Educator | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2014-09-04 |
| 1487095402 | Alyson Lio | Speech-Language Pathologist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2013-07-08 |
| 1598043200 | Paula Dianne Emma | Occupational Therapist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2011-07-28 |
| 1558675397 | Marissa L Bush | Physical Therapist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2010-08-04 |
| 1023348554 | Diana Carr | Occupational Therapist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2010-01-06 |
| 1871631416 | Martha Bonilla | Physical Therapist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2007-02-04 |
| 1396897773 | Pediatric Rehabilitation of North Jersey PC | Clinic/Center | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708538 | Vip Medical Group of Nj, LLC | Specialist | 342 Hamburg Tpke Ste 203, Wayne, NJ 07470-2166 | 2018-07-30 |
| 1598276701 | D&a Medical Billing and Consulting | Specialist | 120 Bunker Hill Rd, Wayne, NJ 07470-6328 | 2017-10-14 |
| 1699222901 | Raenette Franco | Specialist | 11 Rande Dr., Compassion Works Medical, Wayne, NJ 07470 | 2016-09-02 |
| 1962867614 | Xavier Oliver | Specialist | 4074 Howe Rd, Wayne, MI 48184-1830 | 2015-12-23 |
| 1952643140 | George Harrison Talbot | Specialist | 133 N Wayne Ave, #2, Wayne, PA 19087-3561 | 2013-03-26 |
| 1689919839 | Tatyana Mishin | Specialist | 47 Tanager Ct, Wayne, NJ 07470-8435 | 2012-11-28 |
| 1851689343 | Alexis Tyler Curreri | Specialist | 995 Old Eagle School Rd, Suite 304f, Wayne, PA 19087 | 2011-07-18 |
| 1720371149 | Nabil M Yazgi, M.d. P.a. | Specialist | 401 Hamburg Turnpike, Suite 102, Wayne, NJ 07470-2139 | 2011-05-18 |
| 1730312786 | Laser Spine Institute of Pennsylvania, LLC | Specialist | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1606 | 2009-08-25 |
| 1992930440 | Summit Cardiovascular Care, LLC | Specialist | 620 Lee Rd, Suite 120, Wayne, PA 19087-5650 | 2009-05-27 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.