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MS. MARIETTA BUSA PA
NPI 1609945617
Physician Assistant - Medical in Massapequa, NY

Active since November 06, 2006
727 BROADWAY, MASSAPEQUA, NY 11758(516) 799-0210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Marietta Busa Pa NPPES

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

MS. MARIETTA BUSA PA (NPI 1609945617) is an individual medical provider in Massapequa, New York, licensed in New York (009628) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609945617
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARIETTA BUSACredential: PA
Location Address727 BROADWAYMassapequa, NY 11758
Mailing Address22 Mcalpin AveAlbertson, NY 11507-1908 · (516) 799-0210
Phone(516) 799-0210
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609945617 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 · 009628
727 BROADWAY, Massapequa, NY 11758
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Other Identifiers 1

Medicare ID-Type UnspecifiedMB05779L10NY

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.

LINDA M WRIGHT-SENZER MENTAL HEALTH COUNSE
Counselor
727 BROADWAY, STE B3
MASSAPEQUA, NY 11758
Nassau County (516) 724-4054
JIYON JENNIFER KIM P.A.-C., MPAS
Physician Assistant (Surgical)
727 BROADWAY, SUITE B4
MASSAPEQUA, NY 11758
Nassau County (516) 799-0210

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 Marietta Busa's NPI number?

The NPI number for Marietta Busa is 1609945617. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Marietta Busa located?

Marietta Busa practices at 727 Broadway, Massapequa, NY 11758. The listed phone number is (516) 799-0210.

What is Marietta Busa's specialty?

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

When was this NPI record last updated?

The NPPES record for Marietta Busa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.