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DR. MARISSA GLORIA CARDILLO MD
NPI 1346709193
Pediatrics in Corona, NY

Active since March 19, 2019PECOS Enrolled
3716 108TH ST, CORONA, NY 11368(718) 651-4000 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marissa Gloria Cardillo Md NPPES

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

DR. MARISSA GLORIA CARDILLO MD (NPI 1346709193) is an individual pediatrics provider in Corona, New York, licensed in New York (316313) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346709193
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARISSA GLORIA CARDILLOCredential: MD
Location Address3716 108TH STCorona, NY 11368-2025
Mailing Address3716 108th StCorona, NY 11368-2025
Phone(718) 651-4000
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1346709193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 316313
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3716 108TH ST, Corona, NY 11368
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Gloria Cardillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Cardillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urban Health Plan, Inc.
Same address
Federally Qualified Health Center (FQHC)
3716 108TH ST
Corona, NY 11368
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
NPI 1710125141 (718) 651-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. MATTHEW KUSHER M.D.
Family Medicine
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MS. MARGARITA LOPERA RD-N
Dietitian, Registered
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MR. LUIS ANTONIO CACERES VILLALTA M.D.
Family Medicine (Adult Medicine)
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MS. CAROLINE LEUNG PA-C, RD
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
CHRISTIAN DIAZ
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
DR. IRFAN JADAVJI M.D.
Family Medicine
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MARCUS ARROYO PA-C
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
ELIZABETH ARIAS M.D.
Pediatrics
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000

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 Cardillo's NPI number?

The NPI number for Marissa Cardillo is 1346709193. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Marissa Cardillo located?

Marissa Cardillo practices at 3716 108th St, Corona, NY 11368. The listed phone number is (718) 651-4000.

What is Marissa Cardillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marissa Cardillo enrolled in Medicare?

Yes. Marissa Cardillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Cardillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Cardillo reassigns Medicare benefits to Urban Health Plan, Inc. (Corona, NY). The 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 Cardillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marissa Cardillo was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.