Active NPI
Marcus Selassie
- Secured Medical Transport (VAN)
- Brooklyn, NY
National Provider Identifier
1093592040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Practice address
- 3400 Snyder Ave Apt 7B
Brooklyn, NY 11203-3914 - Phone
- (718) 813-9228
- NPI assigned
- Sep 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | Primary |
Addresses
Primary practice location
3400 Snyder Ave Apt 7B
Brooklyn, NY 11203-3914
Mailing address
3400 Snyder Ave Apt 7B
Brooklyn, NY 11203-3914
Phone (718) 813-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1093592040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SNYDER AVE APT 7B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033914",
"telephone_number": "718-813-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SNYDER AVE APT 7B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033914",
"telephone_number": "718-813-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELASSIE",
"first_name": "MARCUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"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 Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.