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

Q: What is Maryanne Desantis's NPI number?

The NPI number for Maryanne Desantis is 1174507594. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Maryanne Desantis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Maryanne Desantis was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: November 01, 2026.

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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

Phone(718) 226-2440

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

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Other Identifiers 6

Medicaid02106196NY

Medicare PIN417R3HW681NY

OtherDN0541NY · Railroad Medicare Grp #

Other260049316Railroad Medicare

Medicare UPINF45506NY

OtherP00602172NY · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Maryanne Desantis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stress Care Of New Jersey, LLC

8.7 mi

Community/Behavioral Health

4122 ROUTE 516
Matawan, NJ 07747

Reassigned Medicare billing, New Jersey enrollment
112 clinicians in this Medicare group

NPI 1033433834 (732) 679-4500

Garden State Healthcare Associates, LLC

11 mi

Emergency Medicine

29 E 29TH ST
Bayonne, NJ 07002

Reassigned Medicare billing, New Jersey enrollment
637 clinicians in this Medicare group

NPI 1700014545 (844) 242-7436

Atlanticare Behavioral Health, Inc

68 mi

Community/Behavioral Health

120 S WHITE HORSE PIKE
Hammonton, NJ 08037

Reassigned Medicare billing, New Jersey enrollment
87 clinicians in this Medicare group

NPI 1982143954 (609) 561-7911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 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 with low level od decision making, if using time, 20 minutes or more 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.

18 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.

MRS. LISA TARZIA RN

Registered Nurse (Emergency)