Individual provider Active NPI

Emily Marissa Labrusciano, PA-C

  • Surgical Physician Assistant
  • Sellersville, PA
National Provider Identifier
1760932040
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
700 Lawn Ave
Sellersville, PA 18960-1548
Phone
(203) 535-4100
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 020236 NY
Surgical Physician Assistant 363AS0400X PA Primary

Addresses

Primary practice location

700 Lawn Ave
Sellersville, PA 18960-1548

Mailing address

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (203) 535-4100

Other practice location 1

315 So Manning Blvd
Surgical PA Room 7422
Albany, NY 12208
Phone (518) 525-8600

Other names 1

  • Emily Marissa Reynolds Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GVH.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190305003049 PA Practitioner - Physician Assistant 1557640885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 368-2100

2100 N Broad St
North Penn Surgical Associates
Lansdale, PA 19446-1052
Phone (215) 368-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020236NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Oct 14, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Oct 14, 2024 Accepting new patients
Grand View Hospital CurrentSince Jan 1, 2019 Accepting new patients
Abington Memorial Hospital CurrentSince Oct 14, 2024 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

253 W State St
Doylestown, PA 18901
Phone (267) 880-0810

125 Medical Campus Dr
Ste 310
Lansdale, PA 19446
Phone (215) 368-1122

2100 N Broad St
Lansdale, PA 19446
Phone (215) 368-1122

125 Medical Campus Dr
Ste 205
Lansdale, PA 19446
Phone (215) 321-3737

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

99 N West End Blvd
Ste 104
Quakertown, PA 18951
Phone (215) 453-4908

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

Organizations & group practices 6

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 1

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1760932040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548",
            "telephone_number": "203-535-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548",
            "telephone_number": "203-535-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 So Manning Blvd",
            "address_2": "Surgical PA Room 7422",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-525-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRUSCIANO",
        "first_name": "EMILY",
        "middle_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "020236",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GVH.org",
            "affiliation": "N",
            "address_1": "700 Lawn Ave",
            "city": "Sellersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189601548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "REYNOLDS",
            "middle_name": "MARISSA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.