Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larissa Rose Spishock, PA-C

Individual provider Physician Assistant · NPI 1538414339

Larissa Rose Spishock, PA-C is a Physician Assistant in Hamilton, New Jersey. Qualified in 2012, 14 years ago. Practices with Mariam Maniya Internal Medicine PC, a 17-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone: (609) 581-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00287000 (NJ)

Record details

NPI number1538414339
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mariam Maniya Internal Medicine Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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