Marzena Jablonska Nocilla, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011615 Issued in NY

Practice address

10 Hastings Dr
Beacon, NY 12508-2055

Phone

(845) 440-1600

NPI assigned

Aug 26, 2007

Last updated

Apr 10, 2018By 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

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

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.

• Central Orange Physician Services

  • Hospitalist Physician
  • Middletown, NY
  • NPI 1558776468
  Medicare reassignment

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1366635062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST STE 200",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014948",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HASTINGS DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082055",
            "telephone_number": "845-440-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKA NOCILLA",
        "first_name": "MARZENA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenay Monique Hunter
• John Hanley Huntington, MD
• Christine Ann Hutchinson, RN
• Impact Psychological Services PLLC
• William Wallace Irwin
• Jenny Kaplan Therapy
• C'Joli F Johnson, CNA
• Kiliko Tanaka Jones
• Sadie Jones, C.N.M.
• Ramasree Karri, M.D.

• Physician Assistant in Beacon, NY
• Providers in Beacon, 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 Apr 10, 2018; 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.