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

Mark Michetti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861172165

Mark Michetti is a Certified Registered Nurse Anesthetist (CRNA) in Camden, New Jersey. Qualified in 2024, 2 years ago. Practices with Cooper Anesthesia Associates PC, a 236-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1 Cooper Plz Dept OF
Camden, NJ 08103-1461
Phone: (856) 342-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 W Route 38 Dept Of, Moorestown, NJ 08057-3219 — (856) 342-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ14970700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861172165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cooper Anesthesia Associates Pc — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Camden