Mary Desormes, PA
NPI 1063641009 · Physician Assistant · Jamaica, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Desormes, PA is a Physician Assistant provider in Jamaica, NY (NPI 1063641009).
Provider details
- NPI number
- 1063641009
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-13
- Last updated
- 2018-10-01
Frequently asked questions
- What is Mary Desormes's NPI number?
- Mary Desormes's National Provider Identifier (NPI) is 1063641009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Desormes's specialty?
- Mary Desormes is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Desormes located?
- Mary Desormes's practice location on file with NPPES is 82-68 164 Street, Jamaica, NY 11432.
- What is Mary Desormes's phone number?
- The practice phone number listed in the NPPES registry for Mary Desormes is (718) 658-5480.
- Does Mary Desormes accept Medicare?
- Mary Desormes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Desormes's NPI active?
- Yes — Mary Desormes's NPI (1063641009) is active in the NPPES registry as of the last update on 2018-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.