Individual provider Active NPI

Marika Massay, PA-C

  • Medical Physician Assistant
  • Astoria, NY
National Provider Identifier
1124402060
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016387 Issued in NY
Practice address
4207 30TH Ave
Astoria, NY 11103-2910
Phone
(718) 204-7200
Fax
(718) 267-0060
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016387 NY Primary

Addresses

Primary practice location

4207 30TH Ave
Astoria, NY 11103-2910

Mailing address

4207 30TH Ave
Astoria, NY 11103-2910
Phone (718) 204-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmassay211116@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002653 NY Practitioner - Physician Assistant 8729352182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016387NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 15, 2017 Accepting new patients
New York University CurrentSince Aug 15, 2017 Accepting new patients

Locations

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mmassay211116@nyumc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1124402060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-7200",
            "fax_number": "718-267-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-7200",
            "fax_number": "718-267-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAY",
        "first_name": "MARIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmassay211116@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4207 30th Ave",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111032910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.