Active NPI
Maria P Dearaujo, MD
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
National Provider Identifier
1215087879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 174181
- Practice address
- Olmmc, Dept. of Physical Medicine and Rehab
600 East 233Rd Street
Bronx, NY 10466 - Phone
- (718) 920-9171
- Fax
- (718) 920-9212
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 174181 | NY | Primary |
Addresses
Primary practice location
Olmmc, Dept. of Physical Medicine and Rehab
600 East 233Rd Street
Bronx, NY 10466
Mailing address
Olmmc, Dept. of Physical Medicine and Rehab
600 East 233Rd Street
Bronx, NY 10466
Phone (718) 920-9171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01132145 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215087879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OLMMC, DEPT. OF PHYSICAL MEDICINE AND REHAB",
"address_2": "600 EAST 233RD STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-920-9171",
"fax_number": "718-920-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLMMC, DEPT. OF PHYSICAL MEDICINE AND REHAB",
"address_2": "600 EAST 233RD STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-920-9171",
"fax_number": "718-920-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARAUJO",
"first_name": "MARIA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "174181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01132145",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.