Marjorie J. Van de Stouwe, MD, PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

173529 Issued in NY

Legal business name

MARJORIE J. VAN DE STOUWE, MD, PC

Practice address

30 Hempstead Ave Ste 160
Rockville Centre, NY 11570-4034

Phone

(516) 872-8235

Fax

(516) 825-0045

NPI assigned

Dec 19, 2011

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Lerea

Title

Billing Manager

Phone

(516) 872-8235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjorie J Van de Stouwe, MD

  • Rheumatology Physician
  • Rockville Centre, NY
  • NPI 1962427138
  Medicare reassignment NPD

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1750650941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 160",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-872-8235",
            "fax_number": "516-825-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 160",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-872-8235",
            "fax_number": "516-825-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE J. VAN DE STOUWE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LEREA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-872-8235"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "173529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marciano, RN, PMHNP
• Eileen Marder-Mirman, MS, NCC, LMHC
• Jacqueline Miriam Margareten, PA-C
• Margerita Frisella-Haller, MSPT, P.C.
• Raymond E Mariani, O.D.
• Mark Flugman, M.D., P.C.
• Nora Markarian, LMHC
• Ilissa B Marsh
• Cristina Martino
• Mary Ann Pestrak NP in Psychiatry PLLC

• Rheumatology Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.