Marisa Braccia

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

687886 Issued in NY

Practice address

265 Broadhollow Rd
Melville, NY 11747-4833

Phone

(888) 722-2072

NPI assigned

Oct 10, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1649090119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WOODLAWN AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802533",
            "telephone_number": "631-882-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474833",
            "telephone_number": "888-722-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "NY",
            "postal_code": "117802533",
            "country_code": "US",
            "telephone_number": "631-882-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACCIA",
        "first_name": "MARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "687886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becki Naomi Boussidan, M.S. ED
• Lisa Bovian
• Marc Bovino
• Kacey Doree Bowen
• Margaret Patricia Boyd, NP
• Onike Bradshaw
• Branch Medical, PC
• Ira Brand, D.D.S.
• Marie Flore Bras, LMSW
• Lindsey Brasgold

• Home Health Registered Nurse in Melville, NY
• Providers in Melville, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.