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MARIAM SUSAN LATUGA MD
NPI 1700884749
Pediatrics - Neonatal-Perinatal Medicine in Valhalla, NY

Active since July 13, 2005PECOS Enrolled
95 BRADHURST AVE, VALHALLA, NY 10595(914) 592-7555 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Mariam Susan Latuga Md NPPES

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

MARIAM SUSAN LATUGA MD (NPI 1700884749) is an individual neonatal-perinatal medicine provider in Valhalla, New York, licensed in New York (231585) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700884749
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMARIAM SUSAN LATUGACredential: MD
Location Address95 BRADHURST AVEValhalla, NY 10595-1637
Mailing Address95 Bradhurst AveValhalla, NY 10595-1637
Phone(914) 592-7555
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1700884749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 231585
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 231585 (NY), 2005-01168 (NC)
95 BRADHURST AVE, Valhalla, NY 10595
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Susan Latuga 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

2

Medicare enrollment records show Mariam Latuga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston Children's Health Physicians, LLP
1.2 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100
Montefiore Medical Center
14 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

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.

DR. ELLEN VERINI PH.D
Psychologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7138
MS. RACHEL MAUE CCC-SLP
Speech-Language Pathologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. SARA BURRIS LIBONATI M.S.,ED.
Psychologist (School)
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7138
DR. TRACY LAWRENCE-BLACK MD
Pediatrics (Neonatal-Perinatal Medicine)
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
RACHEL HARVEY CCC-SLP
Speech-Language Pathologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
PAMELA M CONSTANTINE O.T.R.
Occupational Therapist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. CHRISTINE F SIRBONO
Occupational Therapist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. LAURA TARANTINO ALVAREZ LCSW
Social Worker (Clinical)
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 831-2492

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 Mariam Latuga's NPI number?

The NPI number for Mariam Latuga is 1700884749. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Mariam Latuga located?

Mariam Latuga practices at 95 Bradhurst Ave, Valhalla, NY 10595. The listed phone number is (914) 592-7555.

What is Mariam Latuga's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mariam Latuga enrolled in Medicare?

Yes. Mariam Latuga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariam Latuga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Latuga reassigns Medicare benefits to 2 organizations: Boston Children's Health Physicians, LLP (Hawthorne, NY) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Latuga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariam Latuga was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.