Active NPI
Marvin Sidney Garelick, DO
- Family Medicine Physician
- Levittown, NY
National Provider Identifier
1003833575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 091906
- Practice address
- 550 Gardiners Ave
Levittown, NY 11756 - Phone
- (516) 796-3666
- Fax
- (516) 735-5446
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 091906 | NY | Primary |
Addresses
Primary practice location
550 Gardiners Ave
Levittown, NY 11756
Mailing address
550 Gardiners Ave
Levittown, NY 11756
Phone (516) 796-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091906 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1003833575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "11756",
"telephone_number": "516-796-3666",
"fax_number": "516-735-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "11756",
"telephone_number": "516-796-3666",
"fax_number": "516-735-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARELICK",
"first_name": "MARVIN",
"middle_name": "SIDNEY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "091906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.