Individual provider Active NPI

Marjorie Affel, MD

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1003043209
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
311414 Issued in NY
Practice address
1 Family Practice Dr
Kingston, NY 12401-6449
Phone
(845) 338-6400
NPI assigned
Jun 15, 2009
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 241313 MA
Family Medicine Physician 207Q00000X 311414 NY Primary

Addresses

Primary practice location

1 Family Practice Dr
Kingston, NY 12401-6449

Mailing address

PO Box 526
Lynn, MA 01903-0626
Phone (781) 581-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001294 NY Practitioner - Family Practice 0648424283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241313MAMDFamily Medicine Physician
311414NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Family Medicine Current Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Aug 11, 2021 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Aug 11, 2021 Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
Lynn Community Health, Inc. PastSince Dec 26, 2021 Accepting new patients
Healthalliance Hospital Marys Avenue Campus Past Accepting new patients

Locations

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-8444

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy.institute.org/fhir/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1003043209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019030626",
            "telephone_number": "781-581-3900",
            "fax_number": "781-598-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016449",
            "telephone_number": "845-338-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFEL",
        "first_name": "MARJORIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "241313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "311414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.