Doctor profile · Federal record
Dr. MARISA WALL
Physician Assistant · NEW YORK, NY
- NPI 1811779481
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5 E 98TH ST
NEW YORK, NY 100296501
(212) 241-4812
Credentials & registration
- NPI registered
- October 2023 — 3 yrs on file
- Profile last updated
- February 20, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #031472
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811779481. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$392
Transactions
9
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Blue Earth Diagnostics Limited | 5 | $217.98 | |
| PROGENICS PHARMACEUTICALS, INC. | 1 | $122.43 | |
| LANTHEUS MEDICAL IMAGING, INC. | 2 | $36.40 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $15.33 |