Individual provider Active NPI

Alexander Marinbakh, M.D.

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1043215320
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
211186 Issued in NY
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

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02138801MedicaidNY

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
I20040428001522 NY Practitioner - Urology 0648267880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
211186NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Radiation Oncology PC Urology CurrentSince Aug 4, 2021 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Nov 21, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC PastSince Jan 1, 2011 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.

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

Verify at the official NPI Registry.