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MARISA MASSARO NP
NPI 1891217774
Family Medicine in Stony Brook, NY

Active since July 12, 2017
2500 NESCONSET HWY BLDG 14, STONY BROOK, NY 11790(631) 689-6226(631) 675-0736 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Jul 21, 2022, Jul 12, 2017 (3 updates tracked since 2017).

About Marisa Massaro Np NPPES

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

MARISA MASSARO NP (NPI 1891217774) is an individual family medicine provider in Stony Brook, New York, licensed in New York (342010) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1891217774
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARISA MASSAROCredential: NP
Location Address2500 NESCONSET HWY BLDG 14Stony Brook, NY 11790-2555
Mailing Address2500 Nesconset Hwy Bldg 14Stony Brook, NY 11790-2555 · (631) 689-6226 · Fax (631) 675-0736
Phone(631) 689-6226
Fax(631) 675-0736
Sole ProprietorNo
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1891217774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 342010
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2500 NESCONSET HWY BLDG 14, Stony Brook, NY 11790
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Other Identifiers 1

Medicaid07176034NY

Other Providers at the Same Location NPPES 5

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

DR. STEPHANIE ANNE TISCHLER D.O.
Pediatrics
2500 NESCONSET HWY BLDG 14
STONY BROOK, NY 11790
Suffolk County (631) 689-6226
DOUGHTY AND RYZOVA MEDICAL GROUP PC
Pediatrics
2500 NESCONSET HWY BLDG 14
STONY BROOK, NY 11790
Suffolk County (631) 689-6226
YEKATERINA RYZOVA-VAYSMAN MD
Pediatrics
2500 NESCONSET HWY BLDG 14
STONY BROOK, NY 11790
Suffolk County (631) 689-6226
ALICIA JEAN DOUGHTY DO
Pediatrics
2500 NESCONSET HWY BLDG 14
STONY BROOK, NY 11790
Suffolk County (631) 689-6226
KERRIANN LATTEN NP
Pediatrics
2500 NESCONSET HWY BLDG 14
STONY BROOK, NY 11790
Suffolk County (316) 896-2266

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 Marisa Massaro's NPI number?

The NPI number for Marisa Massaro is 1891217774. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Marisa Massaro located?

Marisa Massaro practices at 2500 Nesconset Hwy Bldg 14, Stony Brook, NY 11790. The listed phone number is (631) 689-6226.

What is Marisa Massaro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marisa Massaro was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.