Active NPI
Marius Emanuel Dsouza, DOCTOR OF MEDICINE
- Student in an Organized Health Care Education/Training Program
- Bronx, New York, NY
National Provider Identifier
1447003298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1400 Pelham Parkway South
Jacobi Medical Center
Bronx, New York, NY 10461 - Phone
- (718) 918-5000
- NPI assigned
- Apr 10, 2024
- Reactivated
- Dec 23, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1400 Pelham Parkway South
Jacobi Medical Center
Bronx, New York, NY 10461
Mailing address
602, Silver Ark
Convent Avenue, Santacruz West
Mumbai, MAHARASHTRA 400054
IN
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1447003298",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "602, SILVER ARK",
"address_2": "CONVENT AVENUE, SANTACRUZ WEST",
"city": "MUMBAI",
"state": "MAHARASHTRA",
"postal_code": "400054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH",
"address_2": "JACOBI MEDICAL CENTER",
"city": "BRONX, NEW YORK",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DSOUZA",
"first_name": "MARIUS",
"middle_name": "EMANUEL",
"name_prefix": "Mr.",
"credential": "DOCTOR OF MEDICINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2024-12-23",
"deactivation_date": "2024-11-22",
"reactivation_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.