Active NPI
Marisa D Nadas, M.D.
- Obstetrics & Gynecology Physician
- Bronx, NY
National Provider Identifier
1255507059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 270576-1
- Practice address
- 1400 Pelham Pkwy S
Building 1, Room B527
Bronx, NY 10461-1138 - Phone
- (718) 918-6300
- Fax
- (718) 918-6318
- NPI assigned
- May 1, 2008
- Last updated
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 243733 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | 270576-1 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Building 1, Room B527
Bronx, NY 10461-1138
Mailing address
1400 Pelham Pkwy S
Building 1, Room B527
Bronx, NY 10461-1138
Phone (718) 918-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110086270A | Medicaid | MA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270576-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Boston University Obstetrics and Gynecology Foundation, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mnadas840709@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1255507059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 1, ROOM B527",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6300",
"fax_number": "718-918-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 1, ROOM B527",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6300",
"fax_number": "718-918-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADAS",
"first_name": "MARISA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "243733",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "270576-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110086270A",
"state": "MA"
}
],
"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 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.