JOSE D. ESPINAL-MARIOTTE M.D.
NPI 1952384042
Pathology - Anatomic Pathology in Wayne, NJ

Q: What is Jose Espinal-mariotte's NPI number?

The NPI number for Jose Espinal-mariotte is 1952384042. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Jose Espinal-mariotte's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

224 HAMBURG TPKE, DEPT. OF PATHOLOGY, WAYNE, NJ 07470(973) 942-6900(973) 389-4019 Get Directions Write a Review

NPPES record last updated: August 3, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose D. Espinal-mariotte M.d. NPPES

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

JOSE D. ESPINAL-MARIOTTE M.D. (NPI 1952384042) is an individual anatomic pathology provider in Wayne, New Jersey, licensed in New Jersey (25MA04887300) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1952384042

Entity TypeIndividualMale

Primary Taxonomy207ZP0101X

Provider Legal NameJOSE D. ESPINAL-MARIOTTECredential: M.D.

Location Address224 HAMBURG TPKE, DEPT. OF PATHOLOGYWayne, NJ 07470-2111

Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (407) 648-2065

Phone(973) 942-6900

Fax(973) 389-4019

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateNovember 22, 2005

Last NPPES UpdateAugust 3, 2007

✔ NPI 1952384042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0101X

License✔ Licensed in NJ · 25MA04887300

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

224 HAMBURG TPKE, Wayne, NJ 07470

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Other Identifiers 3

Medicare PIN515411NJ

Medicaid0516902NJ

Medicare UPIND92586

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Jose D. Espinal-mariotte M.d. 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 ID5496854952

PECOS Enrollment IDI20231220001153

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 12

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

847 services441 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

154 services74 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

142 services30 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

58 services55 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

56 services51 patients

Microscopic genetic analysis of tumor, using computer-assisted technology 88361

Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.

52 services14 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

33 services32 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

30 services28 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

19 services14 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

19 services16 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

18 services18 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420030

Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County

Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

SLEEPCARE CENTERS, INC.

Specialist

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (856) 234-0770

MRS. JOANNE DUFFY APN

Clinical Nurse Specialist (Acute Care)

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 942-6900

MARIANNE A KALEJA PT

Physical Therapist

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 956-3360

MATIAS BLUMETTI APN

Nurse Practitioner (Adult Health)

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 942-6900

CARDIOLOGY GROUP WAYNE GENERAL HOSPITAL

Internal Medicine (Cardiovascular Disease)

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 790-3232

MS. SHIVANI RUPARELIA MOTR

Occupational Therapist

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 956-3360

MANSOOR A. KHAN MD

Emergency Medicine

224 HAMBURG TPKE, WAYNE GENERAL HOSPITAL
WAYNE, NJ 07470

Passaic County (973) 754-2150

MISS ELIZABETH CASEY WILLIAMS MS OTR/L

Occupational Therapist

224 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 956-3360

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 Jose Espinal-mariotte's NPI number?

The NPI number for Jose Espinal-mariotte is 1952384042. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Jose Espinal-mariotte located?

Jose Espinal-mariotte practices at 224 Hamburg Tpke Dept. Of Pathology, Wayne, NJ 07470. The listed phone number is (973) 942-6900.

What is Jose Espinal-mariotte's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Jose Espinal-mariotte enrolled in Medicare?

Yes. Jose Espinal-mariotte 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.

What insurance does Jose Espinal-mariotte accept?

Health plans from Molina Healthcare list Jose Espinal-mariotte 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 Jose Espinal-mariotte affiliated with any hospitals?

According to CMS data, Jose Espinal-mariotte is affiliated with Colleton Medical Center, Bon Secours-St Francis Xavier Hospital and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Espinal-mariotte was last updated on August 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.