Individual provider Active NPI

Giovanni Marciano, DO

  • Family Medicine Physician
  • Woodhaven, NY
National Provider Identifier
1013028067
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
185994 Issued in NY
Practice address
8616 Jamaica Ave
Woodhaven, NY 11421-2042
Phone
(718) 805-0037
Fax
(718) 849-3737
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 185994 NY Primary

Addresses

Primary practice location

8616 Jamaica Ave
Woodhaven, NY 11421-2042

Mailing address

8616 Jamaica Ave
Woodhaven, NY 11421-2042
Phone (718) 805-0037

Other identifiers 1

IdentifierTypeStateIssuer
01496271MedicaidNY

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
I20040702000339 NY Practitioner - Family Practice 8820075369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ny Family Practice Physicians, PCGroup PAC ID 4688731623, 12 clinicians

Practice addresses (Care Compare)

7924 Jamaica Ave
Woodhaven, NY 11421-1801
Phone (718) 805-0037

8616 Jamaica Ave
Woodhaven, NY 11421-2042
Phone (718) 805-0037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185994NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC CurrentSince Jan 1, 2009 Accepting new patients
Dr. Giovanni Marciano and Dr. Glenn Muraca Physicians, P.C. Past Accepting new patients
Ny Family Medical Docs PC Family Medicine Past Accepting new patients

Locations

1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600

6414 Myrtle Ave
Glendale, NY 11385
Phone (718) 866-4622

11208 Springfield Blvd
Queens Village, NY 11429
Phone (929) 430-3811

8616 Jamaica Ave
Woodhaven, NY 11421
Phone (800) 992-6827

7602 Jamaica Ave
Woodhaven, NY 11421

7924 Jamaica Ave
Woodhaven, NY 11421
Phone (516) 239-1800

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBHBD/Endpoint/JBBHBD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1013028067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-805-0037",
            "fax_number": "718-849-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-805-0037",
            "fax_number": "718-849-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANO",
        "first_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.