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MARISSA MICELI PHYSICIAN ASSISTANT
NPI 1780575852
Physician Assistant in New York, NY

Active since July 15, 2025
622 W 168TH ST, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Miceli Physician Assistant NPPES

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

MARISSA MICELI PHYSICIAN ASSISTANT (NPI 1780575852) is an individual physician assistant in New York, New York, licensed in New York (033983) and active in the NPI registry since July 2025. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1780575852
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA MICELICredential: PHYSICIAN ASSISTANT
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address61 Pilgrim RdScarsdale, NY 10583-6738 · (914) 224-9805
Phone(212) 305-2500
Sole ProprietorNo
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1780575852 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 · 033983
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.
622 W 168TH ST, New York, NY 10032
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Secondary Practice Location 1

Location 15141 BroadwayNew York, NY 10034-1159 · Phone (212) 932-4000

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

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 Marissa Miceli's NPI number?

The NPI number for Marissa Miceli is 1780575852. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Marissa Miceli located?

Marissa Miceli practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Marissa Miceli's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Miceli was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.