Individual provider Active NPI

Marcella Allen, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1104890565
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231347 Issued in NY
Practice address
55 E 34TH Street
New York, NY 10016-4337
Phone
(212) 252-6131
Fax
(914) 779-3266
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231347 NY Primary

Addresses

Primary practice location

55 E 34TH Street
New York, NY 10016-4337

Mailing address

PO Box 95000-2454
Philadelphia, PA 19195-2454
Phone (914) 779-2995

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
I20040602000637 NY Practitioner - Family PracticePractitioner - Internal Medicine 1658353826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231347NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Docs Physicians Affiliated With Bimc Family Medicine Past Accepting new patients

Locations

3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600

141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030

55 E 34th St
Fl 1
New York, NY 10016
Phone (212) 252-6131

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

2422 Central Park Ave
Yonkers, NY 10710
Phone (914) 779-2995

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1104890565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2454",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952454",
            "telephone_number": "914-779-2995",
            "fax_number": "914-779-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 34TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164337",
            "telephone_number": "212-252-6131",
            "fax_number": "914-779-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARCELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.