Individual provider Active NPI

Maria Luisa De la Morena, MD

  • Pediatrics Physician
  • Mamaroneck, NY
National Provider Identifier
1316015761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
223610 Issued in NY
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002261 NY Practitioner - Pediatric Medicine 2860878469 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Sep 14, 2022 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Sep 14, 2022 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.