Marjorie Grace David, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8411 Seneca Tpke
New Hartford, NY 13413-4912

Phone

(315) 624-8500

Fax

(315) 624-8515

NPI assigned

Sep 16, 2014

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

Other identifiers 2

Other names 1

• Marjorie Fisher Former name

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

Specialty

Physician Assistant

Education

State University of New York at Stony Brook, School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.18 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

86.82

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• New York Psychiatric Services, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1538371018
  Medicare reassignment Care Compare group
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740681238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST-BUSINESS OFFICE ROOM 310",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 SENECA TPKE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134912",
            "telephone_number": "315-624-8500",
            "fax_number": "315-624-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Pheasants Run",
            "address_2": "Unit 3",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133231939",
            "country_code": "US",
            "telephone_number": "253-683-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARJORIE",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04323635",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "170726000208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "FISHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel G Herbowy (Futspa)
• Andrew Thomas Danquer
• Marie Dardano, ATC
• Chelsea Lea Darrow, MS, OTR/L
• David Oconnor Nurse Practitioner in Psychiatry PLLC (David O'Connor, Psychiatry)
• Paul Gregory Davidson, MD
• Cynthia I Davis, LCSW-R, CASAC
• Elaine M. Davis, NURSE PRACTITIONER
• Kathleen Davis, NP
• Barbara M Deblois, NP

• Physician Assistant in New Hartford, NY
• Providers in New Hartford, 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 Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.