Individual provider Active NPI

Marian Carol Unterman, N.P.

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1013065481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
303392 Issued in NY
Practice address
1250 Broadway FL 21
New York, NY 10001-3701
Phone
(212) 609-1800
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303392 NY Primary

Addresses

Primary practice location

1250 Broadway FL 21
New York, NY 10001-3701

Mailing address

12 E 86TH St Apt 338
New York, NY 10028-0508
Phone (212) 628-5583

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000128 NY Practitioner - Nurse Practitioner 4082757851 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince Mar 15, 2016 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Mar 15, 2016 Accepting new patients
Visiting Nurse Service of New York Past Accepting new patients

Locations

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

Interoperability endpoints

  • Direct secure messaging: ms_munterma@landmarkhealth-direct.org

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013065481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 86TH ST APT 338",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280508",
            "telephone_number": "212-628-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BROADWAY FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013701",
            "telephone_number": "212-609-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERMAN",
        "first_name": "MARIAN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.