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

Marie Shehata

Individual provider Physician Assistant · NPI 1801612825

Marie Shehata is a Physician Assistant in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with Passaic River Observation, LLC, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7000
Phone: (607) 274-3011
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801612825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024
Mailing address953 Danby Rd, Ithaca, NY 14850-7000

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Passaic River Observation, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ithaca