MICHAEL MAROTTA PA NPI 1710012521

NPI Information

NPI: 1710012521
Provider Name: MICHAEL MAROTTA, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
24 STEVENS ST
NORWALK, CT
ZIP 06850
Phone: (203) 852-2258
Get Directions

Michael Marotta, PA is a medical physician assistant in Norwalk, CT. Michael Marotta, PA NPI is 1710012521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 STEVENS ST
NORWALK, CT
ZIP 06850-852
Phone: (203) 852-2258

The NPI 1710012521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 12/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	000331	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R61024	MEDICARE UPIN
2	970000812	MEDICARE ID-TYPE UNSPECIFIED
3	290000331CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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