Marietta Busa, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009628 Issued in NY

Practice address

727 Broadway
Massapequa, NY 11758

Phone

(516) 799-0210

NPI assigned

Nov 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mickaela Marichal DNP Nurse Practitioner in Family Health PLLC

  • Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1538074752
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609945617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MCALPIN AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071908",
            "telephone_number": "516-799-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-799-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSA",
        "first_name": "MARIETTA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Buonaguro, RPH
• Aristide Burducea, DO
• Arieta Buredua
• Daniella Burns, LMHC
• Sarah Burns, PA
• Lois Bush-Jackson, LCSW
• Patricia Butt, COTA
• Ronald Arthur Buxbaum, DMD
• Buzzell Chiropractic PC
• Jill Michelle Byrnes, PT

• Medical Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.