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

Peter Marusca, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1891308615

Peter Marusca, AGACNP-BC is a Nurse Practitioner in Woodside, New York. Qualified in 2020, 6 years ago. Practices with Suny Health Science Center at Syracuse, a 210-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

4610 61st St Apt 14A
Woodside, NY 11377-5731
Phone: (347) 207-6654
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 431837 (NY)

Record details

NPI number1891308615
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address8146 Old Sunridge Dr, Manlius, NY 13104-2204

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Suny Health Science Center At Syracuse — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodside