Active NPI
Marise Dione D'Souza, M.D.
- Pediatric Cardiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 253626
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 654-2487
- NPI assigned
- Aug 22, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 253626 | NY | |
| Pediatric Cardiology Physician | 2080P0202X | 76597 | CT | |
| Pediatric Cardiology Physician | 2080P0202X | 253626 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
64 Stephen Dr
Pleasantville, NY 10570-1824
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253626 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| SBH Physicians, PC | Pediatrics | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Montefiore Medical Center | Pediatrics | Current | Accepting new patients |
| SBH Physicians, PC | Pediatrics | Current | Accepting new patients |
| Quarry Road Emergency Services P.C. | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
40 Sunshine Cottage Rd
Ste 1N
Valhalla, NY 10595
33 Davis Ave
White Plains, NY 10605
Phone (914) 948-3630
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mdsouza88870@connecticutchildrens.direct-ci.com
- mdsouza@montefioredirect.com
Organizations & group practices 12
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1992937098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 STEPHEN DR",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105701824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-654-2487"
}
],
"practiceLocations": [
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-545-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'SOUZA",
"first_name": "MARISE",
"middle_name": "DIONE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-22",
"last_updated": "2024-01-25",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "253626",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CT",
"license": "76597",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "253626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.