Active NPI
Blima Marcus, DNP ANP-BC RN OCN
- Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 308801
- Practice address
- 5712 15TH Ave
Brooklyn, NY 11219-4729 - Phone
- (347) 693-9691
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 626345 | NY | |
| Nurse Practitioner | 363L00000X | 308801 | NY | Primary |
Addresses
Primary practice location
5712 15TH Ave
Brooklyn, NY 11219-4729
Mailing address
5712 15TH Ave
Brooklyn, NY 11219-4729
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626345 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bklyn Concierge Care LLC | Current | Accepting new patients | |
| My Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Memorial Solid Tumor Group | Current | Accepting new patients | |
| Memorial Developmental Chemo Group | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
500 1st Ave
New York, NY 10016
Phone (212) 562-4141
11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- bmarcus3640841@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
- Medical Oncology Physician
- New York, NY
- NPI 1912978487
-
- Internal Medicine Physician
- New York, NY
- NPI 1699746172
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1518896190
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1083181598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 15TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5712 15TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194729",
"telephone_number": "347-693-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "BLIMA",
"name_prefix": "Dr.",
"credential": "DNP ANP-BC RN OCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "626345",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "308801",
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.