Active NPI
Alexander Marinbakh, M.D.
- Urology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 211186
- Practice address
- 2844 Ocean Pkwy
Brooklyn, NY 11235-7900 - Phone
- (718) 646-0909
- Fax
- (718) 646-8688
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 211186 | NY | Primary |
Addresses
Primary practice location
2844 Ocean Pkwy
Brooklyn, NY 11235-7900
Mailing address
1900 Quentin Rd
Apt A22
Brooklyn, NY 11229-2379
Phone (718) 646-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02138801 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211186 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Radiation Oncology PC | Urology | Current | Accepting new patients |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Past | Accepting new patients |
Locations
9711 3rd Ave
Brooklyn, NY 11209
Phone (718) 833-1808
2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200
2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800
15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
454 Fort Washington Ave
Apt 1
New York, NY 10033
Phone (212) 927-3338
500 W 181st St
New York, NY 10033
Phone (212) 396-1174
160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1164460754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1043215320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 QUENTIN RD",
"address_2": "APT A22",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292379",
"telephone_number": "718-646-0909",
"fax_number": "718-646-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357900",
"telephone_number": "718-646-0909",
"fax_number": "718-646-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINBAKH",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "211186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02138801",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.