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

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

Other providers in Englewood