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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIELLA DISTURCO
NPI 1306208764
Obstetrics & Gynecology in Sparta, NJ

Active since March 24, 2016PECOS Enrolled
21 MOHAWK AVE, SPARTA, NJ 07871(973) 729-4211 Get Directions Write a Review

NPPES record last updated: October 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Mar 25, 2016 (2 updates tracked since 2016).

About Mariella Disturco NPPES

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

MARIELLA DISTURCO (NPI 1306208764) is an individual obstetrics & gynecology provider in Sparta, New Jersey, licensed in New Jersey (25MA12156300) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Denville.

NPPES Registry Identity

NPI1306208764
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARIELLA DISTURCO
Location Address21 MOHAWK AVESparta, NJ 07871-1808
Mailing Address316 Cambourne DrToms River, NJ 08753-1903
Phone(973) 729-4211
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateOctober 24, 20262 updates tracked since enumeration
NPPES CertifiedOctober 24, 2026
✔ NPI 1306208764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA12156300
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
21 MOHAWK AVE, Sparta, NJ 07871
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Secondary Practice Location 1

Location 116 Pocono Rd Ste 302Denville, NJ 07834-2908 · Phone (973) 784-3935 · Fax (973) 561-6678

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariella Disturco is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133464878
PECOS Enrollment IDI20240717000249
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mariella Disturco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine Of Morris County LLC
11 mi
Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1568570489 (973) 366-6060
Lifeline Medical Associates, LLC
21 mi
Obstetrics & Gynecology
100 CAMPUS DR STE 405
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 230 clinicians in this Medicare group
NPI 1821041617 (800) 845-2785
Ob Hospitalist Services New Jersey, PA
599 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1801169966 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 3

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

DR. ANNA PATRAS D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
21 MOHAWK AVE
SPARTA, NJ 07871
Sussex County (973) 729-5900
ANNA PATRAS DMD PA
Specialist
21 MOHAWK AVE
SPARTA, NJ 07871
Sussex County (973) 729-5900
MS. BERNADETTE MARIE WALSH DNP, WHNP-BC
Nurse Practitioner (Family)
21 MOHAWK AVE
SPARTA, NJ 07871
Sussex County (973) 729-4211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariella Disturco's NPI number?

The NPI number for Mariella Disturco is 1306208764. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Mariella Disturco located?

Mariella Disturco practices at 21 Mohawk Ave, Sparta, NJ 07871. The listed phone number is (973) 729-4211.

What is Mariella Disturco's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mariella Disturco enrolled in Medicare?

Yes. Mariella Disturco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mariella Disturco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariella Disturco reassigns Medicare benefits to 3 organizations: Internal Medicine Of Morris County LLC (Mine Hill, NJ), Lifeline Medical Associates, LLC (Florham Park, NJ) and Ob Hospitalist Services New Jersey, PA (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariella Disturco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariella Disturco accept?

Health plans from Oscar Health list Mariella Disturco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariella Disturco affiliated with any hospitals?

According to CMS data, Mariella Disturco is affiliated with Morristown Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Mariella Disturco was last updated on October 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.