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Active NPI 1073063012 Individual Practitioner Female Practitioner

Mia Deritis

Physician Assistant • Pennington, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mia Deritis is a certified Physician Assistant practicing in Pennington, NJ. With approximately 8 years of clinical experience since completing medical education in 2018, Mia Deritis delivers high-quality medical care to the local community at 1 CAPITAL WAY.

Mia Deritis is affiliated with Cmc Department Of Medicine Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, ultrasonic guidance for blood vessel access, insertion of needle into vein, patient 3 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Capital Way

Pennington, NJ 085342520

Telephone 8006372374
Associated Practice Facility / Clinic
🏢 Capital Health System, Inc. Facility NPI 1073516183

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pennington, NJ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -0.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Pennington, NJ (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deritis (8 Years) 8 Yrs
Pennington Specialty Average (8.2 Years) 8.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 25 $233.00 $69.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
16 13 $335.00 $104.40

Medical Specialties & State Licenses

CMS Verified: 2024-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00518400

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NJ 25MP00518400

Definition to come...

Hospital & Practice Group Affiliations

Cmc Department Of Medicine Group Pa

3 Cooper Plz, Camden, NJ 081031407

Phone: 8569687965

Cmc Department Of Medicine Group Pa

1 Cooper Plz, Camden, NJ 081031461

Phone: 8563424192

Cmc Department Of Medicine Group Pa

3 Cooper Plz, Camden, NJ 081031438

Cmc Department Of Medicine Group Pa

2 Cooper Plz, Camden, NJ 081031461

Phone: 8556322667

Secondary Practice Locations

1925 Pacific Ave

Atlantic City, NJ 084016713

Phone: 6094494373

2 Capital Way Ste 456

Pennington, NJ 085342521

Phone: 6095377300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003076373

Doctor of Medicine (M.D.)

Daniel Finke , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003438599

Certified Registered Nurse Anesthetist

Dr. Sriya Kosaraju , MD

Student in an Organized Health Care Education/Training Program

NPI 1003744327

Doctor of Medicine (M.D.)

Shaun Foley , PA-C

Physician Assistant

NPI 1013316603

Physician Assistant (Certified)

Dr. Aman Sandhu , MD

Student in an Organized Health Care Education/Training Program

NPI 1023945300

Doctor of Medicine (M.D.)

Samantha Offenback

Nurse Anesthetist, Certified Registered

NPI 1063150902

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Physician Assistant (License #25MP00518400 in NJ)

📍
Updated Practice Location April 27, 2021

Registered at 1 CAPITAL WAY, PENNINGTON, NJ 085342520 (Tel: 8006372374)

📍
Updated Business Mailing Address April 27, 2021

Registered at 1 CAPITAL WAY, PENNINGTON, NJ 085342520 (Tel: 8006372374)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Physician Assistant (License #25MP00518400 in NJ)

📍
Updated Practice Location April 30, 2019

Registered at 2 CAPITAL WAY STE 456, PENNINGTON, NJ 085342521 (Tel: 6095377300)

📍
Updated Business Mailing Address April 30, 2019

Registered at 2 CAPITAL WAY, STE 456, PENNINGTON, NJ 085342521 (Tel: 6108887943)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2019

Physician Assistant (License #25MP00518400 in NJ)

NPI Profile Active October 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2016

Registered at 36 FERGUSON AVE, BROOMALL, PA 190082601 (Tel: 6108887943)

📍
Updated Business Mailing Address October 13, 2016

Registered at 36 FERGUSON AVE, BROOMALL, PA 190082601 (Tel: 6108887943)

👤
Provider Name / Credentials Updated October 13, 2016

Recorded as MIA DERITIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073063012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2016
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

1 Capital Way

Pennington, NJ 085342520

Phone: 8006372374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.