JOHNATHAN ANDREW MARASCO MD
NPI 1306425848
Student in an Organized Health Care Education/Training Program in Providence, RI
About Johnathan Andrew Marasco Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHAN ANDREW MARASCO MD (NPI 1306425848) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnathan Andrew Marasco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Johnathan Marasco's NPI number?
The NPI number for Johnathan Marasco is 1306425848. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Johnathan Marasco located?
Johnathan Marasco practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Johnathan Marasco's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Johnathan Marasco enrolled in Medicare?
Yes. Johnathan Marasco is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Johnathan Marasco was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Johnathan Andrew Marasco, MD · NPI 1306425848
Student in an Organized Health Care Education/Training Program provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1306425848 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306425848) · Data from the CMS NPPES public registry.