Individual provider Active NPI

Margarette Dessources, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1447654280
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401761-1 Issued in NY
Practice address
37 E 28TH St
New York, NY 10016-7919
Phone
(212) 452-4657
NPI assigned
Oct 21, 2014
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401761-1 NY Primary

Addresses

Primary practice location

37 E 28TH St
New York, NY 10016-7919

Mailing address

1131 E 103Rd St
Brooklyn, NY 11236-4523
Phone (718) 245-3131

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000450 NY Practitioner - Nurse Practitioner 4880990613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Healthcare Services P.C.Group PAC ID 7012185366, 16 clinicians

Practice addresses (Care Compare)

157 E 72ND St
Ofc H
New York, NY 10021-4333
Phone (718) 239-0030

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
67.92
Improvement activities
40
Cost
65.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401761-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Services II, Inc CurrentSince Oct 1, 2018 Accepting new patients
Medical Healthcare Services P.C. CurrentSince Aug 15, 2016 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jun 17, 2018 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jun 17, 2018 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Organizations & group practices 4

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1447654280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E 103RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364523",
            "telephone_number": "718-245-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E 28TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167919",
            "telephone_number": "212-452-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSOURCES",
        "first_name": "MARGARETTE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.