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

Marissa D Deluca, PA-C

Individual provider Surgical Physician Assistant · NPI 1730414731

Marissa D Deluca, PA-C is a Physician Assistant in Manhasset, New York. Qualified in 2009, 17 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
17
Licensed in
IN, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 562-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10590 N Meridian St Ste 105, Carmel, IN 46290-1028 — (317) 583-7800

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015474 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10004706A (IN)

Record details

NPI number1730414731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2009
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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