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

Marisa Nicole Medugno, PA-C

Individual provider Surgical Physician Assistant · NPI 1982055471

Marisa Nicole Medugno, PA-C is a Surgical Physician Assistant in Bayshore, New York. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

301 E Main Street Acute Care Surgery / Trauma
Bayshore, NY 11706
Phone: (631) 968-3895
Show map & directions

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

Additional practice locations (1)

  • 2 Hillvale Rd, Syosset, NY 11791-6903 — (516) 314-2718

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1982055471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2016
Last updated in NPPESMarch 17, 2018