DR. DESIREE MERRELL M.D.
NPI 1326019878
Pediatrics - Adolescent Medicine in Bayside, NY

Q: What is Desiree Merrell's NPI number?

The NPI number for Desiree Merrell is 1326019878. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Desiree Merrell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Merrell was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 31, 2006PECOS Enrolled

2901 216TH ST, ST. MARY'S HOSPITAL FOR CHILDREN, BAYSIDE, NY 11360(718) 281-8569(718) 281-8590 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Desiree Merrell M.d. NPPES

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

DR. DESIREE MERRELL M.D. (NPI 1326019878) is an individual adolescent medicine provider in Bayside, New York, licensed in New York (174782) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326019878

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. DESIREE MERRELLCredential: M.D.

Location Address2901 216TH ST, ST. MARY'S HOSPITAL FOR CHILDRENBayside, NY 11360-2810

Mailing Address2901 216th St, St. Mary's Hospital For ChildrenBayside, NY 11360-2810 · (718) 281-8569 · Fax (718) 281-8590

Phone(718) 281-8569

Fax(718) 281-8590

Sole ProprietorNo

Enumeration DateJanuary 31, 2006

Last NPPES UpdateApril 2, 2015

✔ NPI 1326019878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 174782

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2901 216TH ST, Bayside, NY 11360

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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. Desiree Merrell M.d. 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.

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.

NATASHA HAYDEN LPN

Licensed Practical Nurse