MARISSA DEPAULO NP
NPI 1952082430
Nurse Practitioner - Pediatrics in New York, NY

Active since July 27, 2023
3959 BROADWAY, NEW YORK, NY 10032(212) 305-5437 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2024, Jul 27, 2023 (2 updates tracked since 2023).

About Marissa Depaulo Np NPPES

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

MARISSA DEPAULO NP (NPI 1952082430) is an individual pediatrics provider in New York, New York, licensed in New York (383471) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1952082430
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARISSA DEPAULOCredential: NP
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 Broadway, Unit 9 NorthNew York, NY 10032-1559 · (212) 305-5437
Sole ProprietorNo
Enumeration DateJuly 27, 2023
Last NPPES UpdateDecember 28, 20242 updates tracked since enumeration
NPPES CertifiedDecember 28, 2024
NPI 1952082430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · 383471
3959 BROADWAY, New York, NY 10032

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Depaulo's NPI number?

The NPI number for Marissa Depaulo is 1952082430. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Marissa Depaulo located?

Marissa Depaulo practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5437.

What is Marissa Depaulo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marissa Depaulo was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.