Individual provider Active NPI

Damian A Marrese, DO

  • Family Medicine Physician
  • Sag Harbor, NY
National Provider Identifier
1215032297
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
194499 Issued in NY
Practice address
3330 Noyack Rd BLDG a
Sag Harbor, NY 11963-1931
Phone
(631) 725-2112
Fax
(631) 725-7180
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 194499 NY Primary

Addresses

Primary practice location

3330 Noyack Rd BLDG a
Sag Harbor, NY 11963-1931

Mailing address

3330 Noyack Rd BLDG a
Sag Harbor, NY 11963-1931
Phone (631) 725-2112

Other identifiers 7

IdentifierTypeStateIssuer
57802OtherNYVYTRA
7227893OtherCIGNA
7D6021OtherNYEMPIRE BCBS
01837145MedicaidNY
219464POtherHIP
P4391206OtherNYOXF
1377871OtherNYUHC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000170 NY Practitioner - Family Practice 1951598606 Reassigns benefits to 1 organization
Practice locations: Water Mill, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

860 Montauk Hwy
Water Mill, NY 11976-2638
Phone (631) 726-6073

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jan 1, 2012 Accepting new patients
Sound Medical Care PC Family Medicine Past Accepting new patients
South Fork Medical Associates PC Past Accepting new patients

Locations

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

860 Montauk Hwy
Unit 7
Water Mill, NY 11976

860 Montauk Hwy
#247
Water Mill, NY 11976
Phone (631) 726-6073

860 Montauk Hwy
Water Mill, NY 11976
Phone (631) 726-6073

Networks

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

Interoperability endpoints

  • Direct secure messaging: damian.marrese.p8@direct.shproviders.nextgenshare.com
  • Direct secure messaging: damian.marrese.p1@direct.shproviders.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1215032297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NOYACK RD BLDG A",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631931",
            "telephone_number": "631-725-2112",
            "fax_number": "631-725-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NOYACK RD BLDG A",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631931",
            "telephone_number": "631-725-2112",
            "fax_number": "631-725-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRESE",
        "first_name": "DAMIAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "194499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "57802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7227893",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "7D6021",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01837145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "219464P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXF",
            "identifier": "P4391206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1377871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sag Harbor, NY

Sources for this page

Verify at the official NPI Registry.