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

Individual provider Acute Care Nurse Practitioner · NPI 1578106910

Maryann Dassah, AGACNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

525 E 68th Street Baker 15
New York, NY 10065
Phone: (646) 659-1658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5645 Main St, Flushing, NY 11355-5045 — (646) 659-1658
  • 80 Park Ave, New York, NY 10016-2553 — (646) 659-1658
  • 80 Park Ave Apt 15p, New York, NY 10016-2547 — (646) 659-1658

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F431513 (NY)

Record details

NPI number1578106910
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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