Individual provider Active NPI

Blima Marcus, DNP ANP-BC RN OCN

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1083181598
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
308801 Issued in NY
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

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190503000228 NY Practitioner - Nurse Practitioner 4688916109 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
626345NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bklyn Concierge Care LLC Current Accepting new patients
My Medical PC CurrentSince Nov 15, 2021 Accepting new patients
New York University CurrentSince Feb 2, 2022 Accepting new patients
Memorial Solid Tumor Group CurrentSince Apr 1, 2019 Accepting new patients
Memorial Developmental Chemo Group CurrentSince Sep 3, 2019 Accepting new patients
New York University CurrentSince Feb 2, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.