MR. MARC THOMAS CIVITANO P.A.
NPI 1578615621
Physician Assistant - Surgical in Harrison, NY

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
600 MAMARONECK AVE, SUITE 101, HARRISON, NY 10528(914) 686-0111(914) 686-8964 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Marc Thomas Civitano P.a. NPPES

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

MR. MARC THOMAS CIVITANO P.A. (NPI 1578615621) is an individual surgical provider in Harrison, New York, licensed in New York (011059) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Montefiore New Rochelle Hospital, and is a graduate of Mercy College (2005).

NPPES Registry Identity

NPI1578615621
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MARC THOMAS CIVITANOCredential: P.A.
Location Address600 MAMARONECK AVE, SUITE 101Harrison, NY 10528-1635
Mailing Address600 Mamaroneck Ave, Suite 101Harrison, NY 10528-1635 · (914) 686-0111 · Fax (914) 686-8964
Fax(914) 686-8964
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2005
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 30, 2013
NPI 1578615621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 011059
600 MAMARONECK AVE, Harrison, NY 10528

Other Identifiers 2

Medicare PINA400067606NY
Medicare PINA400022322NY

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

Mr. Marc Thomas Civitano P.a. 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 ID7113934050
PECOS Enrollment IDI20060316000619
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.

Hospital Affiliations CMS Care Compare 2

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

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester 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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
600 MAMARONECK AVE, SUITE 4
HARRISON, NY 10528
Dermatology
600 MAMARONECK AVE, SUITE 200
HARRISON, NY 10528
Psychologist (Clinical)
600 MAMARONECK AVE, SUITE 400
HARRISON, NY 10528
Internal Medicine
600 MAMARONECK AVE
HARRISON, NY 10528
Obstetrics & Gynecology
600 MAMARONECK AVE
HARRISON, NY 10528
Psychiatry & Neurology (Psychiatry)
600 MAMARONECK AVE, SUITE 106
HARRISON, NY 10528
Psychologist (Clinical)
600 MAMARONECK AVE, 411
HARRISON, NY 10528
Family Medicine
600 MAMARONECK AVE
HARRISON, NY 10528

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 Marc Civitano's NPI number?

The NPI number for Marc Civitano is 1578615621. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Marc Civitano located?

Marc Civitano practices at 600 Mamaroneck Ave Suite 101, Harrison, NY 10528. The listed phone number is (914) 686-0111.

What is Marc Civitano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marc Civitano enrolled in Medicare?

Yes. Marc Civitano 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 Marc Civitano affiliated with any hospitals?

According to CMS data, Marc Civitano is affiliated with Montefiore New Rochelle Hospital and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Civitano was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.