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MRS. MARIE CAMERON PESOLA PA
NPI 1730109406
Physician Assistant in New York, NY

Active since July 19, 2006PECOS Enrolled
575 GRAND ST APT E1905, NEW YORK, NY 10002(212) 982-1708 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marie Cameron Pesola Pa NPPES

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

MRS. MARIE CAMERON PESOLA PA (NPI 1730109406) is an individual physician assistant in New York, New York, licensed in New York (005685) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730109406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARIE CAMERON PESOLACredential: PA
Location Address575 GRAND ST APT E1905New York, NY 10002-4321
Mailing Address575 Grand St Apt E1905New York, NY 10002-4321 · (212) 982-1708
Phone(212) 982-1708
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 10, 2016
✔ NPI 1730109406 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 · 005685
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.
575 GRAND ST APT E1905, New York, NY 10002
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Other Identifiers 2

Medicare PINA400031558NY
Medicaid03751333NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marie Cameron Pesola Pa 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 10002 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.

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 Marie Pesola's NPI number?

The NPI number for Marie Pesola is 1730109406. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Marie Pesola located?

Marie Pesola practices at 575 Grand St Apt E1905, New York, NY 10002. The listed phone number is (212) 982-1708.

What is Marie Pesola's specialty?

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

Is Marie Pesola enrolled in Medicare?

Yes. Marie Pesola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie Pesola was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.