Marisol Marie Ventura, PA-C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

03189401 Issued in NY

Practice address

186 E 76TH St FL 2
New York, NY 10021-2822

Phone

(212) 434-2323

Fax

(212) 434-6885

NPI assigned

Jan 15, 2022

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: mventura69925@northwell.direct-ci.com

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.

• Lenox Hill Hospital Medical, PC

  • Internal Medicine Physician
  • Westbury, NY
  • NPI 1326328188
  Medicare reassignment
• Lenox Hill Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1316147176
  NPD (past)

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1225789787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E 76TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212822",
            "telephone_number": "212-434-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E 76TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212822",
            "telephone_number": "212-434-2323",
            "fax_number": "212-434-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "MARISOL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "03189401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Lee Ventra, MHC-LP
• Briana Patricia Ventriello, BSN RN
• John Michael Ventrudo, M.D.
• Emily Ventura, RD
• Jensine Ventura
• Rachel Ventura
• Serfaty Ventura
• Yavelly Ventura
• Susan L Venturini, NNP
• Olivia Mary Venturino

• Otolaryngology Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.