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MARIELLA R SCRUDATO PA-C
NPI 1407402126
Physician Assistant in Valley Stream, NY

Active since August 19, 2019PECOS Enrolled
65 ROOSEVELT AVE, VALLEY STREAM, NY 11581(516) 622-3490 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Nov 7, 2022, Jan 27, 2022 and 4 more (7 updates tracked since 2019).

About Mariella R Scrudato Pa-c NPPES

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

MARIELLA R SCRUDATO PA-C (NPI 1407402126) is an individual physician assistant in Valley Stream, New York, licensed in New York (024647) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407402126
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIELLA R SCRUDATOCredential: PA-C
Location Address65 ROOSEVELT AVEValley Stream, NY 11581-1151
Mailing Address65 Roosevelt AveValley Stream, NY 11581-1151 · (516) 622-3490
Phone(516) 622-3490
Sole ProprietorNo
Enumeration DateAugust 19, 2019
Last NPPES UpdateJuly 20, 20237 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1407402126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024647
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
65 ROOSEVELT AVE, Valley Stream, NY 11581
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Other Names 1

Former Name (1)Mariella R Bilello Pa-c

Secondary Practice Locations 2

Location 1167 E Merrick RdValley Stream, NY 11580-5925 · Phone (516) 825-3030
Location 211412 Beach Channel DrRockaway Park, NY 11694-2212 · Phone (718) 474-3375

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariella R Scrudato Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 2

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

SUSANNE LABARBA D.O.
Allergy & Immunology
65 ROOSEVELT AVE
VALLEY STREAM, NY 11581
Nassau County (516) 622-3490
DR. EDWARD M BARON M.D.
Ophthalmology
65 ROOSEVELT AVE, STE 204
VALLEY STREAM, NY 11581
Nassau County (516) 374-4199

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 Mariella Scrudato's NPI number?

The NPI number for Mariella Scrudato is 1407402126. It was assigned to this individual provider in the NPPES registry on August 19, 2019. The provider is also known as Mariella R Bilello Pa-C.

Where is Mariella Scrudato located?

Mariella Scrudato practices at 65 Roosevelt Ave, Valley Stream, NY 11581. The listed phone number is (516) 622-3490.

What is Mariella Scrudato's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mariella Scrudato enrolled in Medicare?

Yes. Mariella Scrudato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariella Scrudato was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.