Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON MERRYMAN PA
NPI 1699459503
Physician Assistant in New York, NY

Active since June 12, 2023PECOS Enrolled
535 W 110TH ST APT 1E, NEW YORK, NY 10025(212) 280-4740 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 16, 2026, Sep 18, 2025, Jun 12, 2023 (3 updates tracked since 2023).

About Madison Merryman Pa NPPES

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

MADISON MERRYMAN PA (NPI 1699459503) is an individual physician assistant in New York, New York, licensed in New Jersey (25MP00939100) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699459503
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON MERRYMANCredential: PA
Location Address535 W 110TH ST APT 1ENew York, NY 10025-2021
Mailing Address535 W 110th St Apt 1eNew York, NY 10025-2021
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2023
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1699459503 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 NJ · 25MP00939100
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.
535 W 110TH ST APT 1E, New York, NY 10025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madison Merryman Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294222972
PECOS Enrollment IDI20251015004451
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 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Adult Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025

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 Madison Merryman's NPI number?

The NPI number for Madison Merryman is 1699459503. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Madison Merryman located?

Madison Merryman practices at 535 W 110th St Apt 1E, New York, NY 10025. The listed phone number is (212) 280-4740.

What is Madison Merryman's specialty?

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

Is Madison Merryman enrolled in Medicare?

Yes. Madison Merryman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Merryman was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.