Individual provider Active NPI

Maria Bartellino Damanakis, M.D.

  • Pediatrics Physician
  • New Rochelle, NY
National Provider Identifier
1093247298
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
305414 Issued in NY
Practice address
145 Huguenot St Ste 200
New Rochelle, NY 10801-5252
Phone
(914) 235-1400
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 305414 NY Primary

Addresses

Primary practice location

145 Huguenot St Ste 200
New Rochelle, NY 10801-5252

Mailing address

145 Huguenot St Ste 200
New Rochelle, NY 10801-5252
Phone (914) 235-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004152 NY Practitioner - Pediatric Medicine 2264899657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Children's Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone (914) 493-7235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Jul 1, 2023 Accepting new patients
Flatiron Pediatrics of Port PC Pediatrics CurrentSince Apr 11, 2021 Accepting new patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
Pediatric Associates of Southern Westchester P C Pediatrics PastSince Jul 2, 2023 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

145 Huguenot St
Ste 200
New Rochelle, NY 10801
Phone (914) 235-1400

14 Vanderventer Ave
Ste 210
Port Washington, NY 11050
Phone (516) 588-3888

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: maria.bartellinodamanakis.p1@direct.cwpw.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1093247298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015252",
            "telephone_number": "914-235-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015252",
            "telephone_number": "914-235-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMANAKIS",
        "first_name": "MARIA",
        "middle_name": "BARTELLINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "305414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.