Active NPI
Mary Therese Parisi, M.D.
- Dermatopathology (Pathology) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- ME 92639
- Practice address
- 17909 Bahama Isle Drive
Tampa, FL 33647 - Phone
- (813) 731-0564
- NPI assigned
- May 15, 2007
- Last updated
- Oct 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME 92639 | FL | Primary |
Addresses
Primary practice location
17909 Bahama Isle Drive
Tampa, FL 33647
Mailing address
17909 Bahama Isle Drive
Tampa, FL 33647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Hahnemann University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Grace Ave
Suite 100
Great Neck, NY 11021-2417
Phone (516) 482-2882
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92639 | FL | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Robert L Bruckstein MD PC | Current | Accepting new patients | |
| Bodian Dermatology Group, P.C | Current | Accepting new patients | |
| Comprehensive Dermatology, P.C. | Current | Accepting new patients | |
| Bodian Medical Services of Forest Hills PC | Past | Accepting new patients | |
| Eastern Connecticut Pathology Consultants, PC | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
11 Grace Ave
Ste 100
Great Neck, NY 11021
Phone (516) 482-2882
300 Community Dr
Manhasset, NY 11030
26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000
1991 Marcus Ave
Ste 300
North New Hyde Park, NY 11042
Phone (516) 321-8509
972 Brush Hollow Rd
Westbury, NY 11590
1122 Broadway
Woodmere, NY 11598
Phone (516) 295-3838
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Specialist
- Great Neck, NY
- NPI 1659412104
-
- Anatomic Pathology & Clinical Pathology Physician
- Manchester, CT
- NPI 1558326991
-
- Specialist
- Woodmere, NY
- NPI 1659417038
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Dermatology Physician
- Lawrence, NY
- NPI 1194002733
-
- Specialist
- Forest Hills, NY
- NPI 1043441777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1942416334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17909 BAHAMA ISLE DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17909 BAHAMA ISLE DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-731-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISI",
"first_name": "MARY",
"middle_name": "THERESE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME 92639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.