Active NPI
Maryann Dassah, AGACNP-BC
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1578106910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F431513
- Practice address
- 525 East 68TH Street
Baker 15
New York, NY 10065 - Phone
- (646) 659-1658
- NPI assigned
- Oct 17, 2019
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F431513 | NY | Primary |
Addresses
Primary practice location
525 East 68TH Street
Baker 15
New York, NY 10065
Mailing address
80 Park Ave Apt 15P
New York, NY 10016-2547
Other practice location 1
80 Park Ave Apt 15P
New York, NY 10016-2547
Phone (646) 659-1658
Other practice location 2
80 Park Ave
New York, NY 10016-2553
Phone (646) 659-1658
Other practice location 3
5645 Main St
Flushing, NY 11355-5045
Phone (646) 659-1658
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.79 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 49.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F431513 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Anesthesiology Group | Current | Accepting new patients |
Locations
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mdassah29826@mskcc.direct-ci.com
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1578106910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PARK AVE APT 15P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 EAST 68TH STREET",
"address_2": "BAKER 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "646-659-1658"
}
],
"practiceLocations": [
{
"address_1": "80 Park Ave Apt 15P",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162547",
"country_code": "US",
"telephone_number": "646-659-1658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Park Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162553",
"country_code": "US",
"telephone_number": "646-659-1658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "646-659-1658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASSAH",
"first_name": "MARYANN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F431513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.