MS. MARISSA ANN GATDULA N.P
NPI 1174912554
Nurse Practitioner - Acute Care in New York, NY
About Ms. Marissa Ann Gatdula N.p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARISSA ANN GATDULA N.P (NPI 1174912554) is an individual acute care provider in New York, New York, licensed in New York (430849) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Marissa Ann Gatdula N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Marissa Gatdula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Gatdula's NPI number?
The NPI number for Marissa Gatdula is 1174912554. It was assigned to this individual provider in the NPPES registry on January 22, 2015.
Where is Marissa Gatdula located?
Marissa Gatdula practices at 550 1st Ave Suite 9V, New York, NY 10016. The listed phone number is (212) 263-7078.
What is Marissa Gatdula's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Marissa Gatdula enrolled in Medicare?
Yes. Marissa Gatdula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marissa Gatdula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Gatdula reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Gatdula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marissa Gatdula affiliated with any hospitals?
According to CMS data, Marissa Gatdula is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Marissa Gatdula was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Ms. Marissa Ann Gatdula, N.P · NPI 1174912554
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 22, 2015.
## Identity
- **NPI:** 1174912554 (Entity type: Individual)
- **Enumerated:** January 22, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 430849 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, SUITE 9V, New York, NY 10016-6402
- **Phone:** (212) 263-7078
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1174912554) · Data from the CMS NPPES public registry.