DR. MARYANNE DESANTIS MD
NPI 1174507594
Psychiatry & Neurology - Psychiatry in Staten Island, NY

Active since November 30, 2005PECOS Enrolled
375 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 226-2440 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Maryanne Desantis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYANNE DESANTIS MD (NPI 1174507594) is an individual psychiatry provider in Staten Island, New York, licensed in New York (190585) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174507594
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARYANNE DESANTISCredential: MD
Location Address375 SEGUINE AVEStaten Island, NY 10309-3932
Mailing Address1 Edgewater St, 6th Fl. Payer RelationStaten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 1, 2008
NPI 1174507594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 190585
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 190585 (NY)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 190585 (NY)
375 SEGUINE AVE, Staten Island, NY 10309

Other Identifiers 6

Medicaid02106196NY
Medicare PIN417R3HW681NY
OtherDN0541NY · Railroad Medicare Grp #
Other260049316Railroad Medicare
Medicare UPINF45506NY
OtherP00602172NY · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Maryanne Desantis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
461 services90 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services16 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Pediatrics (Adolescent Medicine)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Internal Medicine
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Internal Medicine (Cardiovascular Disease)
375 SEGUINE AVE, STATEN ISLAND UNIVERSITY HOSPITAL SOUTH, FLOOR 2
STATEN ISLAND, NY 10309
Internal Medicine
375 SEGUINE AVE, STATEN ISLAND UNIVERSITY HOSPITAL, SOUTH SITE
STATEN ISLAND, NY 10309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174507594, enumerated as an "individual" on November 30, 2005.

The provider is located at 375 SEGUINE AVE STATEN ISLAND, NY 10309 and the phone number is (718) 226-2440.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.