MARISA RENEE ALTAMIRANO (PA-C) – Physician Assistant, NPI 1679247233
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MARISA RENEE ALTAMIRANO (PA-C)
113 W ESSEX ST
MAYWOOD, NJ 076071023
Phone: (201) 289-5551
Type: Mailing
2042 MORRIS AVE
UNION, NJ 070836045
Phone: (858) 205-9963
Type: Mailing
2052 MORRIS AVE
UNION, NJ 070836028
Phone: (908) 350-4444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $697.
Total Amount is formed as General ($697) + Research ($0) + Ownership ($0) = $697.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Integra LifeSciences Corporation ($347).
Total Amount
$697
General + Research + Ownership
Payments
11
Total payment records
General Amount
$697
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $347 |
| Kerecis Limited | $267 |
| Solventum Corporation | $32 |
| ConvaTec Inc. | $23 |
| Teva Pharmaceuticals USA, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210928000781 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | PA | |
| - | NJ | |
| General Surgery | NJ | |
| Plastic And Reconstructive Surgery, General Surgery, Maxillofacial Surgery, Hand Surgery | NJ | |
| - | NJ | |
| Plastic And Reconstructive Surgery | GA | |
| Physician Assistant | NJ | |
| General Surgery | NJ | |
| Plastic And Reconstructive Surgery | CT | |
| Physician Assistant | NJ |
Reviews
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