MARISSA LYN CAMPILII (NPI# 1770106874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770106874 |
| Entity Type | Individual |
| Full Name | MARISSA LYN CAMPILII |
| Credential | PA |
| Practice Address |
241 North Rd Poughkeepsie NY 12601-1154 |
| Mailing Address |
19 Bradhurst Ave Ste 3100n Hawthorne NY 10532-2140 |
| Practice Telephone | 8454835000 |
| Mailing Telephone | 9149099018 |
| Mailing Fax Number | 9149099028 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
241 NORTH RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006501 | Lobsang Lhungay | Anesthesiology | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2005-07-08 |
| 1457958118 | Brian Lucas Kaczmarek | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-10-06 |
| 1750988796 | Joshua John Foote | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-10-02 |
| 1467079681 | Kwaku Baidoo | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-07-03 |
| 1205468642 | Scott Peters | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-02-04 |
| 1376199463 | William Martinez | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-14 |
| 1710532908 | Annmarie Scalzo | Nurse Practitioner | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-05 |
| 1568014793 | Lauren Davis | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-09 |
| 1235791138 | Amanda Mae Frankie | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-01 |
| 1780245282 | Catherine Gruszecki | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710467246 | Randy Clarence Anthony Grimshaw | Physician Assistant | 159 Barnegat Rd Ste 101, Poughkeepsie, NY 12601-5402 | 2018-08-15 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1184903916 | Lauren Van Buren | Physician Assistant | 207 Washington St Ste 103, Poughkeepsie, NY 12601-8112 | 2011-08-10 |
| 1295971356 | Maria Badami | Physician Assistant | 19 Baker Ave # 100, Poughkeepsie, NY 12601-1359 | 2008-12-19 |
| 1164455564 | Nicholas Adam Fanok | Physician Assistant | 1910 South Rd., Poughkeepsie, NY 12601-6027 | 2006-07-09 |
| 1417920745 | Kevin Joseph Torrens | Physician Assistant | 55 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-02-08 |
| 1184617185 | Bridget R Beebe | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2005-08-24 |
| 1942812458 | Anthony Michael Cicalese | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2020-08-18 |
| 1871103382 | Jessica Deboer Ely | Physician Assistant | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2020-08-10 |
| 1952912404 | Alexandra Livia Balan | Physician Assistant | 159 Barnegat Rd, Poughkeepsie, NY 12601 | 2020-08-10 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.