Marissa Pena

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA067899 Issued in PA

Practice address

255 West Lancaster Avenue
Medical Office Building 3, Suite 237
Paoli, PA 19301

Phone

(484) 565-8080

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1124938378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LEHANN CIR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WEST LANCASTER AVENUE",
            "address_2": "MEDICAL OFFICE BUILDING 3, SUITE 237",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "484-565-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Pearson, DC
• Pediatric Associates of Paoli, PC (Pediatric Associates of Paoli)
• Pediatric Eye Physicians & Surgeons PC
• Sandra Ellen Pellatt, DNP, CRNP
• Ann Marie Pellegrino, CRNP APRNC
• Christina M Penderghest, CRNP
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #00399)
• Pennsylvania Physicians Services, LLC
• Michael Perez, DPT
• Autumn Rose Perlstein, CSW

• Physician Assistant in Paoli, PA
• Providers in Paoli, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.