Individual provider Active NPI

Maria Francisca De Souza Santos, PHYSICAN ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1336682350
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23 020432 Issued in NY
Practice address
68 Bayard St
#7
New York, NY 10013-4941
Phone
(609) 865-0104
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23 020432 NY Primary

Addresses

Primary practice location

68 Bayard St
#7
New York, NY 10013-4941

Mailing address

68 Bayard St
#7
New York, NY 10013-4941
Phone (609) 865-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210129000660 NY Practitioner - Physician Assistant 5698189876 Reassigns benefits to 2 organizations
I20240909000620 NM Practitioner - Physician Assistant 5698189876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020432NYMDPsychologist
23 020432NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 22, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2021 Accepting new patients
St. Vincent Hospital CurrentSince Jul 29, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 22, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2021 Accepting new patients

Locations

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

111 E 210th St
Bronx, NY 10467

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

Organizations & group practices 7

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 1

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1336682350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BAYARD ST",
            "address_2": "#7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134941",
            "telephone_number": "609-865-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BAYARD ST",
            "address_2": "#7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134941",
            "telephone_number": "609-865-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA SANTOS",
        "first_name": "MARIA FRANCISCA",
        "credential": "PHYSICAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23 020432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.