ALLAN MARIANO
NPI 1043401953
Physician Assistant - Surgical in Middletown, NJ

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since August 06, 2007PECOS Enrolled

480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 225-6000 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Allan Mariano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLAN MARIANO (NPI 1043401953) is an individual surgical provider in Middletown, New Jersey, licensed in New Jersey (25MA09969200) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1043401953

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameALLAN MARIANO

Location Address480 RED HILL RDMiddletown, NJ 07748

Mailing Address480 Red Hill Rd # G106aMiddletown, NJ 07748-3052 · (848) 225-6331 · Fax (201) 691-6700

Phone(848) 225-6000

Sole ProprietorNo

Enumeration DateAugust 6, 2007

Last NPPES UpdateAugust 7, 2018

✔ NPI 1043401953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NJ · 25MA09969200✔ Licensed in NY · 010567

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 010567 (NY), MA052104 (PA)

480 RED HILL RD, Middletown, NJ 07748

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Secondary Practice Location 1

Location 11275 York Ave, SDH - M2New York, NY 10065-6007 · Phone (212) 639-5770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allan Mariano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.