MARYANNE REGINA CHRISANT MD
NPI 1568476455
Pediatrics - Pediatric Cardiology in Bronx, NY

Q: What is Maryanne Chrisant's NPI number?

The NPI number for Maryanne Chrisant is 1568476455. It was assigned to this individual provider in the NPPES registry on July 28, 2006. The provider is also known as Maryanne Regina Kichuk MD.

Q: What is Maryanne Chrisant's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Maryanne Chrisant was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 July 28, 2006PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Apr 19, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2018).

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About Maryanne Regina Chrisant Md NPPES

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

MARYANNE REGINA CHRISANT MD (NPI 1568476455) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (177066) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of New York Medical College (1986).

NPPES Registry Identity

NPI1568476455

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameMARYANNE REGINA CHRISANTCredential: MD

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321

Phone(718) 920-4321

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1986

Enumeration DateJuly 28, 2006

Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1568476455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in NY · 177066✔ Licensed in FL · ME107102

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

3415 BAINBRIDGE AVE, Bronx, NY 10467

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Other Names 1

Former Name (1)Maryanne Regina Kichuk Md

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Other Identifiers 1

Medicaid002152100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315034311

PECOS Enrollment IDI20250417002554

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)