Provider Demographics
NPI:1225827553
Name:PISARCIK, MARY ELISE (NP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELISE
Last Name:PISARCIK
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Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:770 LIGHTHOUSE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-2408
Mailing Address - Country:US
Mailing Address - Phone:609-339-7160
Mailing Address - Fax:609-339-7160
Practice Address - Street 1:770 LIGHTHOUSE DR
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2373
Practice Address - Country:US
Practice Address - Phone:609-339-7160
Practice Address - Fax:609-339-7160
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15302100363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care