Active NPI
Marni Desimone
- Specialist
- White Plains, NY
National Provider Identifier
1699036707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 559100111
- Practice address
- 1133 Westchester Ave Ste N-230
White Plains, NY 10604-3516 - Phone
- (914) 576-5292
- NPI assigned
- Jun 5, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 559100111 | NY | Primary |
Addresses
Primary practice location
1133 Westchester Ave Ste N-230
White Plains, NY 10604-3516
Mailing address
2 Indian TRL
Armonk, NY 10504-1247
Other practice location 1
95 Bradhurst Ave
Valhalla, NY 10595-1637
Phone (914) 592-7555 ext. 71475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559100111 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699036707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDIAN TRL",
"city": "ARMONK",
"state": "NY",
"postal_code": "105041247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVE STE N-230",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106043516",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [
{
"address_1": "95 Bradhurst Ave",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951637",
"country_code": "US",
"telephone_number": "914-592-7555 x71475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESIMONE",
"first_name": "MARNI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "559100111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.