Active NPI
Maria Luisa De la Morena, MD
- Pediatrics Physician
- Mamaroneck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 223610
- Practice address
- 1600 Harrison Ave
Suite 205
Mamaroneck, NY 10543-3145 - Phone
- (914) 777-6600
- Fax
- (914) 777-6602
- NPI assigned
- Dec 2, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223610 | NY | Primary |
Addresses
Primary practice location
1600 Harrison Ave
Suite 205
Mamaroneck, NY 10543-3145
Mailing address
1600 Harrison Ave
Suite 205
Mamaroneck, NY 10543-3145
Phone (914) 777-6600
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children's Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Harrison Pediatrics LLP | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
19 Bradhurst Ave
Ste 100
Hawthorne, NY 10532
Phone (914) 493-7378
1600 Harrison Ave
Ste 205
Mamaroneck, NY 10543
Phone (914) 777-6600
100 Woods Rd
#O
Valhalla, NY 10595
40 Sunshine Cottage Rd
Ofc 1ND
Valhalla, NY 10595
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- maria.delamorena.p1@direct.cwpw.nextgenshare.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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Exclusive Provider Organization
- Mamaroneck, NY
- NPI 1780839266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316015761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "SUITE 205",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433145",
"telephone_number": "914-777-6600",
"fax_number": "914-777-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "SUITE 205",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433145",
"telephone_number": "914-777-6600",
"fax_number": "914-777-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA MORENA",
"first_name": "MARIA",
"middle_name": "LUISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "223610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.