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Marie Shehata

NPI 1801612825ActiveIndividual· Physician Assistant· Ithaca, NY

Physician Assistant with Passaic River Observation, LLC, practicing in Ithaca, New York. Enrolled in Medicare as practitioner - physician assistant. Lists St Joseph's University Medical Center Inc as a hospital affiliation.

Overview

NPI1801612825
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 25, 2024
Last updated in NPPESNov 25, 2024
Certified by providerNov 24, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NJ)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Ithaca

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