- Practice location
- 535 E 70TH St, New York, NY 10021-4823
- Phone
- 646-714-6636
- Fax
- —
- Last updated
- June 15, 2026
Marissa Elizabeth Dale is a Pediatrics, Pediatric Rheumatology based in New York, NY. Marissa Elizabeth Dale practices in New York, NY. The NPI Number for Marissa Elizabeth Dale is 1972130789 and holds a License No. 25MA13139900 (NJ). The current practice location address for Marissa Elizabeth Dale is 535 E 70TH St, New York, NY 10021-4823 and can be reached out via phone at 646-714-6636.
Provider Profile Details
- NPI Number
- 1972130789
- Provider Name
- Marissa Elizabeth Dale
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 535 E 70TH St, New York, NY 10021-4823
- Phone Number
- 646-714-6636
- Primary Taxonomy
- Pediatrics, Pediatric Rheumatology · 2080P0216X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2020
- Last Update Date
- June 15, 2026
- Certification Date
- June 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 535 E 70TH St
New York, NY 10021-4823 - City
- New York
- State
- New York
- Zip
- 10021-4823
- Phone Number
- 646-714-6636
Provider Business Mailing Address Details
- Address
- 331 Newman Springs Road
Bldg. 2, Suite 220
Red Bank, NJ 07701 - City
- Red Bank
- State
- NJ
- Zip
- 07701
- Phone Number
- 732-807-0877
- Fax Number
- 201-751-1680
License Information
- License Number (1)
- 25MA13139900
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics, Pediatric Rheumatology · 2080P0216X · Primary
- License Number (2)
- 321044
- License State (2)
- NY
- Taxonomy (2)
- Pediatrics, Pediatric Rheumatology · 2080P0216X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marissa E Dale?
The NPI number of Marissa E Dale is 1972130789. It was assigned on March 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Marissa E Dale?
Marissa E Dale is registered under the primary taxonomy Pediatrics, Pediatric Rheumatology (code 2080P0216X), licensed in NJ under license number 25MA13139900.
Where does Marissa E Dale practice?
The practice location is 535 E 70TH St, New York, NY 10021-4823. The office can be reached at 646-714-6636 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972130789 directly on the NPPES registry website.