Individual provider Active NPI

Marise Dione D'Souza, M.D.

  • Pediatric Cardiology Physician
  • Bronx, NY
National Provider Identifier
1992937098
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
253626 Issued in NY
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000043 NY Practitioner - Pediatric Medicine 3476781915 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253626NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 20, 2019 Accepting new patients
Refuah Health Center Inc CurrentSince Jul 7, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 7, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 20, 2019 Accepting new patients
SBH Physicians, PC Pediatrics CurrentSince Sep 11, 2025 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Sep 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Feb 12, 2024 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Sep 1, 2014 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Apr 20, 2015 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Feb 12, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mdsouza88870@connecticutchildrens.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.