MARISSA T. SANTOS (NPI# 1659332377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659332377 |
| Entity Type | Individual |
| Full Name | MARISSA T. SANTOS |
| Credential | M.D. |
| Practice Address |
9229 Queens Blvd Suite Cb Rego Park NY 11374-1056 |
| Mailing Address |
6914 41st Ave Suite C2 Woodside NY 11377-4028 |
| Practice Telephone | 7184785600 |
| Practice Fax Number | 7184785335 |
| Mailing Telephone | 7184785600 |
| Mailing Fax Number | 7184785335 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 198043 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY PRESBYTERIAN | 11P8501 | 01 |
| NY | ELDERPLAN | 172917 | 01 |
| NY | HEALTH FIRST | 198043B27 | 01 |
| NY | UNITED HEALTHCARE | 1531786 | 01 |
| NY | CIGNA HEALTHCARE | 8433171 | 01 |
| NY | OXFORD HEALTH PLANS | P384086 | 01 |
| NY | 01833536 | 05 | |
| NY | CORPORATE BEN SVC AMERICA | 41124 | 01 |
| NY | 1199NATIONAL BENEFIT FUND | 470858484 | 01 |
| NY | AFFINITY HEALTH PLAN | SM8043 | 01 |
| NY | EMPIRE BCBS WOODSIDE | 0166AF1 | 01 |
| NY | UNITED HEALTHCARE HMO | 0403354 | 01 |
| NY | CARE PLUS HEALTH PLAN | 113380648SA01 | 01 |
| NY | HIP HEALTH PLAN OF NY | 198043 | 01 |
| NY | HEALTH NET | 1P1113 | 01 |
| NY | GHI | 2592255 | 01 |
| NY | FIDELIS | 040426017706 | 01 |
| NY | AETNA USHC | 5816203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346795010 | Marissa Santos | Physical Therapist | 215 Slater Rd, Tolland, CT 06084-2216 | 2016-08-23 |
| 1831796523 | Marissa Annette Santos | Behavior Technician | 851 Bowsprit Rd, Chula Vista, CA 91914-4529 | 2020-10-06 |
| Street Address |
9229 QUEENS BLVD SUITE CB |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849847 | Lyle Bruce Borman | Dentist | 9229 Queens Blvd, Suite 1k, Rego Park, NY 11374-1056 | 2005-08-30 |
| 1982092904 | A2z Physical Therapy PC | Physical Therapist | 9229 Queens Blvd, Suite 2c, Rego Park, NY 11374-1056 | 2014-12-29 |
| 1972915833 | Sujata Kamdar | Physical Therapist | 9229 Queens Blvd, Apt # 12g, Rego Park, NY 11374-1056 | 2014-05-27 |
| 1235566068 | Victory Medical Care PC | Internal Medicine | 9229 Queens Blvd, Suite 2a, Rego Park, NY 11374-1056 | 2013-10-12 |
| 1679839450 | Andrew I. Fishman | Urology | 9229 Queens Blvd, Suite 2b, Rego Park, NY 11374-1072 | 2012-04-06 |
| 1528344975 | Alexander Tan Kwan | Physical Therapist | 9229 Queens Blvd, Apartment 16b, Rego Park, NY 11374-1056 | 2011-10-31 |
| 1861705295 | Ernesto Perez | Student in an Organized Health Care Education/Training Program | 9229 Queens Blvd, Suite 2c, Rego Park, NY 11374-1056 | 2010-07-14 |
| 1821313461 | Matthew Nobe | Ophthalmology | 9229 Queens Blvd, Suite 2i, Rego Park, NY 11374-1056 | 2010-04-06 |
| 1366682064 | At Psychiatric Care, P.C. | Community/Behavioral Health | 9229 Queens Blvd, Suite 1i, Rego Park, NY 11374-1056 | 2009-02-20 |
| 1275784639 | Gal Gazit | Internal Medicine | 9229 Queens Blvd, Suite # Cu-6, Rego Park, NY 11374-1056 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243990 | Westmoreland Medical PC | Internal Medicine | 65-11 Booth Street, Suite 1c, Rego Park, NY 11374-4184 | 2020-04-11 |
| 1417311051 | Prathyusha Reddy Yeturu | Internal Medicine | 65-11 Booth Street Suite 1c, Rego Park, NY 11374-4184 | 2016-04-10 |
| 1427321025 | Robert Malakov Physician, P.c | Internal Medicine | 98120 Queens Blvd Ste 1lm, Rego Park, NY 11374-4313 | 2012-02-14 |
| 1538438221 | Megha A Manik | Internal Medicine | 6511 Booth Street Suite 1c, Rego Park, NY 11374-4184 | 2011-12-25 |
| 1083904080 | Jack Jienan Fang | Internal Medicine | 6265 Saunders St Apt 5g, Rego Park, NY 11374-1576 | 2011-04-11 |
| 1598086597 | Neriy Yakubov | Internal Medicine | 6535 Fitchett St, Rego Park, NY 11374-5037 | 2010-06-14 |
| 1760612246 | Crescent Medical Care PC | Internal Medicine | 6425 Ellwell Crscent, Rego Park, NY 11374 | 2009-07-20 |
| 1346482437 | Vyacheslav Shamalov | Internal Medicine | 6325 Saunders St, Apt 7a, Rego Park, NY 11374-2034 | 2009-04-03 |
| 1518106764 | Farzad Avraham Haghighi | Internal Medicine | 8904 63rd Dr, Rego Park, NY 11374-3858 | 2009-02-11 |
| 1699925958 | Liana Mirila | Internal Medicine | 6260 99th St, Apt #27, Rego Park, NY 11374-1842 | 2008-09-23 |
| Find all providers in REGO PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.