Individual provider Active NPI

Marcia S Naveh, MD

  • Internal Medicine Physician
  • Uniondale, NY
National Provider Identifier
1104896067
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
136589 Issued in NY
Practice address
50 Charles Lindbergh Blvd., Suite 206
Matrix Medical Network
Uniondale, NY 11553
Phone
(917) 370-7486
Fax
(212) 496-1706
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 136589 NY Primary

Addresses

Primary practice location

50 Charles Lindbergh Blvd., Suite 206
Matrix Medical Network
Uniondale, NY 11553

Mailing address

50 Charles Lindbergh Blvd., Suite 206
Matrix Medical Network
Uniondale, NY 11553
Phone (917) 370-7486

Other identifiers 1

IdentifierTypeStateIssuer
00471678MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136589NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services, PC Internal Medicine PastSince Jan 10, 2001 Accepting new patients
Regional Physician Services, CT, P.C Internal Medicine Past Accepting new patients
Matrix Medical Network of Kansas PA PastSince Jul 31, 2018 Accepting new patients
Regional Physician Services Connecticut PC PastSince Dec 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1104896067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD., SUITE 206",
            "address_2": "MATRIX MEDICAL NETWORK",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "11553",
            "telephone_number": "917-370-7486",
            "fax_number": "212-496-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD., SUITE 206",
            "address_2": "MATRIX MEDICAL NETWORK",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "11553",
            "telephone_number": "917-370-7486",
            "fax_number": "212-496-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVEH",
        "first_name": "MARCIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00471678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.