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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISSA PETCHPRADUB
NPI 1144166604
Emergency Medicine in New York, NY

Active since April 27, 2026
550 1ST AVE, NEW YORK, NY 10016(212) 263-5550 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Apr 27, 2026 (2 updates tracked since 2026).

About Marissa Petchpradub NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA PETCHPRADUB (NPI 1144166604) is an individual emergency medicine provider in New York, New York, licensed in New York (1144166604) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1144166604
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARISSA PETCHPRADUB
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address550 1st AveNew York, NY 10016-6402
Phone(212) 263-5550
Sole ProprietorNo
Enumeration DateApril 27, 2026
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1144166604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 1144166604
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
550 1ST AVE, New York, NY 10016
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Petchpradub's NPI number?

The NPI number for Marissa Petchpradub is 1144166604. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Marissa Petchpradub located?

Marissa Petchpradub practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5550.

What is Marissa Petchpradub's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Marissa Petchpradub was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.