Mrs Mary Addezio, APN is a
Nurse Practitioner - Family based in Tabernacle, New Jersey. Mrs Mary Addezio is licensed to practice in New Jersey (license number 26NJ15249300) and her current practice location is
11 Marshall Way, Tabernacle, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 979-7939.
NPI number for Mrs Mary Addezio is 1073409991 and her current mailing address is 11 Marshall Way, Tabernacle, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073409991.
Provider's Profile
Full Name | Mrs Mary Addezio |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 11 Marshall Way, Tabernacle, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073409991
- Provider Enumeration Date: 06/16/2025
- Last Update Date: 06/16/2025
Medical Identifiers
Medical identifiers for Mrs Mary Addezio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073409991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 26NJ15249300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Addezio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Addezio, APN 11 Marshall Way, Tabernacle, NJ 08088-8740 Ph: (856) 979-7939 | Mrs Mary Addezio, APN 11 Marshall Way, Tabernacle, NJ 08088-8740 Ph: (856) 979-7939 |
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