Marissa Lim Scholl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008318-1 Issued in NY

Practice address

506 6TH St
Brooklyn, NY 11215-3609

Phone

(860) 318-5099

NPI assigned

Sep 8, 2006

Last updated

Oct 14, 2010By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Cardiovascular Consultants LLCGroup PAC ID 3274875950, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mscholl20816@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: marissa.scholl.1@18542.direct.athenahealth.com

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

• Advanced Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
  • NPI 1306329370
  Medicare reassignment Care Compare group
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Heart Ny Palm Beach

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1356722425
  Medicare reassignment
• Island Wide Medical Associates, PC

  dba Island Cardiac Specialists

  • Cardiovascular Disease Physician
  • Mineola, NY
  • NPI 1932359908
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1306940721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 6TH AVE",
            "address_2": "APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154045",
            "telephone_number": "860-318-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "860-318-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "MARISSA",
        "middle_name": "LIM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008318-1",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "008318-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA9103132",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Schoening Frossard, C.N.M.
• Therese Marie Schoenwandt, RN
• Alyssa Schofield
• Morgan Schofield
• Janet Schogol
• Stephen Roger Scholle, PHD
• Hannah Scholnick, LMSW
• Antonia-Sophia Stella Scholz, MHC-LP
• Batsheva Schon
• Chaya Bracha Schon, MSED

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.