Individual provider Active NPI

Marissa Lomonaco, PA-S

  • Physician Assistant
  • Seaford, NY
National Provider Identifier
1679138754
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024655 Issued in NY
Practice address
3892 Worthmor Dr
Seaford, NY 11783-2011
Phone
(516) 301-8112
NPI assigned
May 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 024655 NY Primary

Addresses

Primary practice location

3892 Worthmor Dr
Seaford, NY 11783-2011

Mailing address

3892 Worthmor Dr
Seaford, NY 11783-2011
Phone (516) 301-8112

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201014002144 NY Practitioner - Physician Assistant 3870913759 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical Services PCGroup PAC ID 7012016009, 341 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 9, 2026 Accepting new patients
New York University CurrentSince Feb 9, 2026 Accepting new patients
CHS Physician Partners, P.C CurrentSince Dec 22, 2025 Accepting new patients
Mount Sinai School of Medicine CurrentSince Jun 10, 2020 Accepting new patients
CHS Physician Partners, PC CurrentSince Dec 22, 2025 Accepting new patients
Mount Sinai School of Medicine CurrentSince Jun 10, 2020 Accepting new patients

Locations

45 Park Ave
Bay Shore, NY 11706
Phone (631) 376-0700

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mlomonaco117468@direct-chsli.net

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1679138754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3892 WORTHMOR DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832011",
            "telephone_number": "516-301-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3892 WORTHMOR DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832011",
            "telephone_number": "516-301-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "MARISSA",
        "name_prefix": "Miss",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.