Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marissa Christina Theofanides, MD

Individual provider Urology Physician · NPI 1306119920

Dr. Marissa Christina Theofanides, MD is an Urology in West Nyack, New York. Graduated from Js Weill Medical College, Cornell University in 2008, 18 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
18
Trained at
Js Weill Medical College, Cornell University
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2 Centerock Rd
West Nyack, NY 10994-2215
Phone: (845) 703-6999
Fax: (845) 703-6297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 290620 (NY)

Record details

NPI number1306119920
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2012
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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