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

Mr. Marc Thomas Civitano, PA

Individual provider Surgical Physician Assistant · NPI 1578615621

Mr. Marc Thomas Civitano, PA is a Physician Assistant in Harrison, New York. Graduated from Mercy College in 2005, 21 years ago. Practices with Specialty Orthopaedics, PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
Mercy College
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

600 Mamaroneck Ave Ste 101
Harrison, NY 10528-1635
Phone: (914) 686-0111
Fax: (914) 686-8964
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 011059 (NY)

Record details

NPI number1578615621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 30, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2005 (21 years in practice)
Group practice Specialty Orthopaedics, Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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