MARISSA L BUSH (NPI# 1558675397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558675397 |
| Entity Type | Individual |
| Full Name | MARISSA L BUSH |
| Credential | D.P.T. |
| Practice Address |
309 Black Oak Ridge Rd Wayne NJ 07470-6504 |
| Mailing Address |
1 W Ridgewood Ave Suite 104 Paramus NJ 07652-2359 |
| Practice Telephone | 9739562900 |
| Practice Fax Number | 9739567900 |
| Mailing Telephone | 2016521415 |
| Mailing Fax Number | 2016520391 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2014-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
40QA01360300 | NJ | Respiratory, Developmental, Rehabilitative and Restorative 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 |
| 1023348554 | Diana Carr | Occupational Therapist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2010-01-06 |
| 1396872297 | Marissa M Muccio | Specialist | 309 Black Oak Ridge Rd, Wayne, NJ 07470-6504 | 2007-02-27 |
| 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 | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221586 | Gregory C Schwalje | Physical Therapist | 10 Beech St, Edison, NJ 08817-4812 | 2020-06-30 |
| 1811511983 | Patricia A Bailey | Physical Therapist | 11c Brookside Hts, Wanaque, NJ 07465-1622 | 2020-06-03 |
| 1871129213 | Anjali Devon Toole | Physical Therapist | 101 Plainsboro Rd, Plainsboro, NJ 08536-1978 | 2020-03-17 |
| 1164063947 | Ashley Nicole Wonneberger | Physical Therapist | 59 Village of Stoney Run Apt D, Maple Shade, NJ 08052-2159 | 2019-10-03 |
| 1386291169 | Huei Yuh Lee | Physical Therapist | 131 Woodbury Rd, Edison, NJ 08820-2973 | 2019-08-26 |
| 1184285348 | Springboard Pediatric Therapy Corp | Physical Therapist | 25 Lindsley Dr Ste 207, Morristown, NJ 07960-4456 | 2019-06-27 |
| 1528622479 | Laurie A. Adamski | Physical Therapist | 116 Beech St, Cranford, NJ 07016-1718 | 2019-04-25 |
| 1730658915 | Erin Pomykala | Physical Therapist | 16 Winston Dr, Middletown, NJ 07748-1729 | 2018-11-17 |
| 1770051559 | Pops Therapeutics,llc | Physical Therapist | 60 Pompton Ave Rear, Verona, NJ 07044-2946 | 2018-11-09 |
| 1033606439 | Linndy Foo | Physical Therapist | 1636 Melville St, Oakhurst, NJ 07755-2925 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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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.