NPIMap

Organization Active NPI

Marvin S Becker, M.D. P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114103868
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
148064 Issued in NY
Legal business name
MARVIN S BECKER, M.D. P.C.
Practice address
2035 Ralph Ave
Brooklyn, NY 11234-5300
Phone
(718) 968-9200
Fax
(718) 444-5054
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mrs. Jacqueline Sherry Becker
Title
Administrator
Phone
(732) 972-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 148064 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
Brooklyn, NY 11234-5300

Mailing address

6 Royal CT
Manalapan, NJ 07726-3205
Phone (732) 972-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240530003776 NY Part B Supplier - Clinic/Group Practice 3072955467 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste C
Brooklyn, NY 11234
Phone (718) 968-2059

3 Boyle Rd
Selden, NY 11784
Phone (631) 716-6000

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1114103868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROYAL CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263205",
            "telephone_number": "732-972-2272",
            "fax_number": "732-972-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-968-9200",
            "fax_number": "718-444-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN S BECKER, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-972-2272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148064",
            "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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.