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MRS. MARISA GOVIN CPNP
NPI 1417718495
Nurse Practitioner - Pediatrics in Long Island City, NY

Active since January 17, 2024
2113 46TH AVE, LONG ISLAND CITY, NY 11101(305) 297-5864 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Marisa Govin Cpnp NPPES

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

MRS. MARISA GOVIN CPNP (NPI 1417718495) is an individual pediatrics provider in Long Island City, New York, licensed in New York (383221) and active in the NPI registry since January 2024. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1417718495
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MARISA GOVINCredential: CPNP
Location Address2113 46TH AVELong Island City, NY 11101-4701
Mailing Address2113 46th AveLong Island City, NY 11101-4701 · (305) 297-5864
Phone(305) 297-5864
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1417718495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383221
2113 46TH AVE, Long Island City, NY 11101
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Secondary Practice Location 1

Location 119 W 24th St Fl 4New York, NY 10010-3239 · Phone (917) 690-4852

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 Marisa Govin's NPI number?

The NPI number for Marisa Govin is 1417718495. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Marisa Govin located?

Marisa Govin practices at 2113 46th Ave, Long Island City, NY 11101. The listed phone number is (305) 297-5864.

What is Marisa Govin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marisa Govin was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.