MARYNA MOOTOO PA
NPI 1316318835
Physician Assistant - Medical in Brooklyn, NY

Active since October 09, 2015PECOS EnrolledAccepts Medicare Assignment
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8958 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Maryna Mootoo Pa NPPES

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

MARYNA MOOTOO PA (NPI 1316318835) is an individual medical provider in Brooklyn, New York, licensed in New York (019123) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1316318835
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARYNA MOOTOOCredential: PA
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address35 Oliver St Apt 5gBrooklyn, NY 11209-6585 · (347) 545-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 9, 2015
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1316318835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 019123
4802 10TH AVE, Brooklyn, NY 11219

Other Identifiers 7

OtherHO4400Oxford
Other000057NY · Blue Cross
OtherIC0023Physicians Health
Medicaid02998736NY
Other000502001Americhoice
Other0007008Aetnaushealthcare
Other71002Elderplan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maryna Mootoo Pa 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.

PECOS PAC ID6204226103
PECOS Enrollment IDI20211208002752
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Maryna Mootoo's NPI number?

The NPI number for Maryna Mootoo is 1316318835. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Maryna Mootoo located?

Maryna Mootoo practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8958.

What is Maryna Mootoo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maryna Mootoo enrolled in Medicare?

Yes. Maryna Mootoo 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.

Is Maryna Mootoo affiliated with any hospitals?

According to CMS data, Maryna Mootoo is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Maryna Mootoo was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.