Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marissa T Ayasse, MD

Individual provider Dermatology Physician · NPI 1992389480

Dr. Marissa T Ayasse, MD is a Dermatology in Port Jefferson Station, New York. Graduated from State Un of Ny, Stony Brook School of Dental Med in 2021, 5 years ago. Practices with Peter a Klein, MD, Faad, PC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
State Un of Ny, Stony Brook School of Dental Med
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6 Medical Dr Ste D
Port Jefferson Station, NY 11776-1594
Phone: (631) 928-7922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 334232 (NY)

Record details

NPI number1992389480
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated 2021 (5 years in practice)
Group practice Peter A Klein, Md, Faad, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station