Individual provider Active NPI

Danissa Janelle Williams, MD

  • Family Medicine Physician
  • Harrison, NY
National Provider Identifier
1164041000
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
321728 Issued in NY
Practice address
600 Mamaroneck Ave Ste 301
Harrison, NY 10528-1613
Phone
(914) 723-8100
Fax
(914) 849-7781
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 321728 NY Primary

Addresses

Primary practice location

600 Mamaroneck Ave Ste 301
Harrison, NY 10528-1613

Mailing address

600 Mamaroneck Ave Ste 301
Harrison, NY 10528-1613
Phone (914) 723-8100

Other practice location 1

2100 Wescott Dr
Flemington, NJ 08822-4604
Phone (908) 788-6100

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
I20230928003927 NY Practitioner - Family Practice 9436503125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
City University of New York School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

600 Mamaroneck Ave
Suite 200
Harrison, NY 10528-1635
Phone (914) 723-8100

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Family Medicine CurrentSince May 6, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 16, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients

Locations

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

400 Kelby St
Fl 7
Fort Lee, NJ 07024

600 Mamaroneck Ave
Ste 200
Harrison, NY 10528
Phone 9147238100116

600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone 9147238100116

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1164041000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 301",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-723-8100",
            "fax_number": "914-849-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 301",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-723-8100",
            "fax_number": "914-849-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Wescott Dr",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224604",
            "country_code": "US",
            "telephone_number": "908-788-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANISSA",
        "middle_name": "JANELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "321728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.