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MARISSA T SANTOS, MD PC
NPI 1225153356
Internal Medicine in Woodside, NY

Active since March 20, 2007CLIA 33D1086970 · Waiver
6911 ROOSEVELT AVE # B, WOODSIDE, NY 11377(718) 478-5600 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Marissa T Santos, Md Pc NPPES

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

MARISSA T SANTOS, MD PC (NPI 1225153356) is a healthcare organization registered as an internal medicine in Woodside, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Marissa T Santos, Owner, as its authorized official.

NPPES Registry Identity

NPI1225153356
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARISSA T SANTOS, MD PC
Location Address6911 ROOSEVELT AVE # BWoodside, NY 11377-2933
Mailing Address6911 Roosevelt Ave # BWoodside, NY 11377-2933
Phone(718) 478-5600
Organization SubpartNo
Authorized OfficialMarissa T SantosOwner · (212) 255-2333
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1225153356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 198043
Definition
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.
6911 ROOSEVELT AVE # B, Woodside, NY 11377
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Other Identifiers 21

Other113380648SA01NY · Care Plus
Other040426017706NY · Fidelis
Other172917NY · Elderplan
Other84798NY · Ghi Hmo
Other100153178601NY · Uhc (hmo)
Other11P8501NY · Ny Presbyterian
Medicare PIN07079NY
Other166AF1NY · Empire Bcbs
Other2592255NY · Ghi
OtherP384086NY · Oxford
OtherSM8043NY · Affinity
Other198043NY · Hip
Other5816203NY · Aetna (hmo)
Other07079GGhi-medicare
Other158042NY · Vytra
Other1P1113NY · Healthnet
Other8433171NY · Cigna
Medicare PIN07079GNY
Medicare PIN07079A
Other1531786NY · Uhc
Other198043B27NY · Health First

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1086970

Marissa T Santos MD PC · Woodside, NY
Active · expires Jul 22, 2028
CLIA Number33D1086970
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorDr. Marissa T. Santos
Laboratory Phone(718) 478-5600
Laboratory LocationMarissa T Santos MD PC69-14 41st Avenue, Suite C 2, Woodside, NY 11377
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa T Santos, MD PC's NPI number?

The NPI number for Marissa T Santos, MD PC is 1225153356. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Marissa T Santos, MD PC located?

Marissa T Santos, MD PC is located at 6911 Roosevelt Ave # B, Woodside, NY 11377. The listed phone number is (718) 478-5600.

What is Marissa T Santos, MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Marissa T Santos, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1086970) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marissa T Santos, MD PC was last updated on June 30, 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.