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

Marissa Elizabeth Dale

Individual provider Pediatric Rheumatology Physician · NPI 1972130789

Marissa Elizabeth Dale is a Pediatric Medicine in New York, New York. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

535 E 70th St
New York, NY 10021-4823
Phone: (646) 714-6636
Show map & directions

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

Additional practice locations (2)

  • 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 — (732) 897-3400
  • 3959 Broadway, New York, NY 10032-1559 — (212) 305-8504

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 25MA13139900 (NJ)
Pediatric Rheumatology Physician Taxonomy 2080P0216X · Licence 321044 (NY)

Record details

NPI number1972130789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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