MRS. MARISSA BROOKE TUFARIELLO PA-C NPI 1952526329

NPI Information

NPI: 1952526329
Provider Name: MRS. MARISSA BROOKE TUFARIELLO, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: EDWARD G MACKAY, MD AND ASSOCIATES, LLC

PECOS Registration: Yes

Address:
2863 ALT. 19 N.
PALM HARBOR, FL
ZIP 34683
Phone: (727) 781-5652
Get Directions

MRS. Marissa Brooke Tufariello, PA-C is a surgical physician assistant in Palm Harbor, FL with 21 years of experience. MRS. Marissa Brooke Tufariello, PA-C NPI is 1952526329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2863 ALT. 19 N.
PALM HARBOR, FL
ZIP 34683-926
Phone: (727) 781-5652

The NPI 1952526329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	009672	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	PA9105412	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DL443Y	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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