Individual provider Active NPI

Marilise Propst

  • Physician Assistant
  • New York, NY
National Provider Identifier
1366338659
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
160 Convent Ave
New York, NY 10031-9101
Phone
(718) 840-8797
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

160 Convent Ave
New York, NY 10031-9101

Mailing address

8552 98TH St
Woodhaven, NY 11421-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
City University of New York School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 E 42ND St
New York, NY 10017-5612

150 E 42ND St 5TH Floor Desk 5 E
Suite 03
New York, NY 10017-5612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1366338659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 98TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CONVENT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100319101",
            "telephone_number": "718-840-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPST",
        "first_name": "MARILISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.