Maria Susana Maritato, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

191535 Issued in NY

Practice address

760 Broadway
Department of Medicine
Brooklyn, NY 11206-5317

Phone

(718) 963-5808

Fax

(718) 963-8753

NPI assigned

Oct 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mmaritato563063@nychhc.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 74TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093324",
            "telephone_number": "718-963-5808",
            "fax_number": "718-963-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-5808",
            "fax_number": "718-963-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARITATO",
        "first_name": "MARIA",
        "middle_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "191535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario N Genovese DPM, PC
• Mario Voloshin DPM PC
• Jennifer Marion, PH.D.
• Mariposa Therapy Services LCSW, PLLC
• Cleofe Mariscal, P.T
• Sarah Marius-Wilson, RN
• Mariyam Abbasi
• Marjorie McDonald
• Mark B. Lew, MD, LLC
• Mark Braunstein DO PLLC

• Infectious Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.