MARIE ANN ADDESA, APN, D.C. — NPI 1013119973 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner in PASSAIC, NJ)

CMS-1500 Box 24J / 33a • NPI

1013119973

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NI0013X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner

Box 32 Service Location & ZIP+4

647 MAIN AVE STE 202, PASSAIC, NJ, 07055-4962

✓ 9-Digit EDI 837 ZIP+4 (07055-4962)

Practice Phone & Referral Fax

(973) 778-2300

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013119973 (MARIE ANN ADDESA, APN, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1013119973` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARIE ANN ADDESA, APN, D.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner NUCC Code: `111NI0013X` (Chiropractor, Independent Medical Examiner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	647 MAIN AVE STE 202, PASSAIC, NJ, 07055-4962
Practice Telephone / Fax	Tel: (973) 778-2300
Administrative Mailing Address	647 MAIN AVE STE 202, PASSAIC, NJ, 07055-4962
Enumeration & Last Sync	Enumerated: 2007-06-04 \| CMS Record Updated: 2023-09-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

647 MAIN AVE STE 202, PASSAIC, NJ, 07055-4962

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Plain-English Taxonomy & CMS Crosswalk (111NI0013X)

What Does Taxonomy Code 111NI0013X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0013X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Independent Medical Examiner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARIE ANN ADDESA, APN, D.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: NY \| License: `350691` \| Primary: Secondary
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: FL \| License: `APRN11027588` \| Primary: Secondary
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: NJ \| License: `26NJ14914900` \| Primary: Secondary
`111NI0013X` — Chiropractor, Independent Medical Examiner Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner	State: NJ \| License: `38MC00467000` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARIE ANN ADDESA, APN, D.C. (NPI #1013119973)