MS. MARISA H MCKIBBAN P.A.
NPI 1174607600
Physician Assistant in East Orange, NJ

Q: What is Marisa Mckibban's NPI number?

The NPI number for Marisa Mckibban is 1174607600. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Marisa Gatta P.A..

Q: What is Marisa Mckibban's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Mckibban was last updated on November 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 24, 2006PECOS Enrolled

300 CENTRAL AVE, EAST ORANGE, NJ 07018(973) 470-3000(973) 470-3506 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Marisa H Mckibban P.a. NPPES

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

MS. MARISA H MCKIBBAN P.A. (NPI 1174607600) is an individual physician assistant in East Orange, New Jersey, licensed in New Jersey (25MP00167000) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174607600

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MARISA H MCKIBBANCredential: P.A.

Location Address300 CENTRAL AVEEast Orange, NJ 07018-2819

Mailing Address104 South Ave WCranford, NJ 07016-2652 · (609) 320-1302 · Fax (973) 470-3506

Phone(973) 470-3000

Fax(973) 470-3506

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateNovember 1, 2011

✔ NPI 1174607600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00167000

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 CENTRAL AVE, East Orange, NJ 07018

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Other Names 1

Former Name (1)Marisa Gatta P.a.

Other Identifiers 1

Medicare PIN107045TLMNJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marisa H Mckibban P.a. 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services47 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services19 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSARIO P FERNANDO M.D.

Anesthesiology