Marissa T Ayasse, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

334232 Issued in NY

Practice address

6 Medical Dr Ste D
Port Jefferson Station, NY 11776-1594

Phone

(631) 928-7922

NPI assigned

May 10, 2021

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

Other names 1

• Dr. Marissa T Ayasse Other 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

State Un of Ny, Stony Brook School of Dental Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peter a Klein, MD, Faad, PCGroup PAC ID 3971492455, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD

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.

• Peter a Klein, MD, Faad, PC

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1902837396
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1992389480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR STE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL DR STE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761594",
            "telephone_number": "631-928-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYASSE",
        "first_name": "MARISSA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "334232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "AYASSE",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline A Aurigema, RPAC
• Lydia A. Avallone-Balfour, MA/CCC-SLP
• Away From Home Adult Day Care, LLC
• Away From Home Senior Day Care
• Diane Jane Axelrod, D.D.S.
• Aziz Chaudry
• Laura Babstock, LPN
• Kristine Louise Bach, M.S., R.D., C.D.N.
• Nonna Badalova, MD,DO
• Riem Badr, M.D.

• Dermatology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.