MARISA RENEE ALTAMIRANO PA-C
NPI 1679247233
Physician Assistant - Surgical in Maywood, NJ

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment
113 W ESSEX ST, MAYWOOD, NJ 07607(201) 289-5551 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Aug 17, 2021, Aug 9, 2021 and 1 more (4 updates tracked since 2021).

About Marisa Renee Altamirano Pa-c NPPES

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

MARISA RENEE ALTAMIRANO PA-C (NPI 1679247233) is an individual surgical provider in Maywood, New Jersey, licensed in New Jersey (25MP00637000) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679247233
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARISA RENEE ALTAMIRANOCredential: PA-C
Location Address113 W ESSEX STMaywood, NJ 07607-1023
Mailing Address113 W Essex StMaywood, NJ 07607-1023 · (201) 289-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 5, 2021
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1679247233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00637000
113 W ESSEX ST, Maywood, NJ 07607

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marisa Renee Altamirano Pa-c 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 ID5991102352
PECOS Enrollment IDI20210928000781
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.

Other Providers at the Same Location NPPES 16

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

Surgery
113 W ESSEX ST
MAYWOOD, NJ 07607
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
113 W ESSEX ST, STE 201
BERGEN, NJ 07607
Orthopaedic Surgery (Foot and Ankle Surgery)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607
Plastic Surgery (Surgery of the Hand)
113 W ESSEX ST, SUITE 202
MAYWOOD, NJ 07607
Plastic Surgery (Surgery of the Hand)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607
Anesthesiology
113 W ESSEX ST, STE 201
MAYWOOD, NJ 07607
Physician Assistant
113 W ESSEX ST, STE 201
MAYWOOD, NJ 07607
Clinic/Center (Physical Therapy)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607

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 Marisa Altamirano's NPI number?

The NPI number for Marisa Altamirano is 1679247233. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Marisa Altamirano located?

Marisa Altamirano practices at 113 W Essex St, Maywood, NJ 07607. The listed phone number is (201) 289-5551.

What is Marisa Altamirano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marisa Altamirano enrolled in Medicare?

Yes. Marisa Altamirano 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.

When was this NPI record last updated?

The NPPES record for Marisa Altamirano was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.