Individual provider Active NPI

Marjorie J Van de Stouwe, MD

  • Rheumatology Physician
  • Rockville Centre, NY
National Provider Identifier
1962427138
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
173529-1 Issued in NY
Practice address
30 Hempstead Ave Ste 160
Rockville Centre, NY 11570-4034
Phone
(516) 872-8235
Fax
(516) 825-0045
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 173529-1 NY Primary

Addresses

Primary practice location

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

Mailing address

30 Hempstead Ave Ste 160
Rockville Centre, NY 11570-4034
Phone (516) 872-8235

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000235 NY Practitioner - Rheumatology 0749447084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Hempstead Ave
Suite 160
Rockville Centre, NY 11570-4034
Phone (516) 256-2428

Merit-based Incentive Payment System (MIPS)

Final score
78.46 of 100Reported as individual
Quality
56.92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173529-1NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie J. Van de Stouwe, MD, PC Rheumatology CurrentSince Jul 5, 1996 Accepting new patients

Locations

30 Hempstead Ave
Ste 160
Rockville Ctr, NY 11570
Phone (516) 594-1010

30 Hempstead Ave
Rockville Ctr, NY 11570
Phone (516) 764-6161

210 E Sunrise Hwy
Ste 201
Valley Stream, NY 11581
Phone (516) 872-8235

Interoperability endpoints

  • Direct secure messaging: dmpatdrv@mvds.directmedgenehr.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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1962427138",
    "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": {
        "last_name": "VAN DE STOUWE",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "173529-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.