Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marc Ross, PA

Individual provider Surgical Physician Assistant · NPI 1306890249

Marc Ross, PA is a Physician Assistant in Englewood, New Jersey. Qualified in 2003, 23 years ago. Practices with New York Society for the Relief of Ruptured and Crippled Maintaining, a 115-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

401 S Van Brunt St
Englewood, NJ 07631-4604
Phone: (201) 569-2770
Fax: (201) 569-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00116500 (NJ)

Record details

NPI number1306890249
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESSeptember 19, 2007
Mailing address401 S Van Brunt St, Englewood, NJ 07631-4604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice New York Society For The Relief Of Ruptured And Crippled Maintaining — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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