Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

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
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Practice location Address checks out

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

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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Passaic River Observation, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 27 clinicians in the practice; 12 are shown here.

Other providers in Ithaca