Marvin Base MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NY187770 Issued in NY

Legal business name

MARVIN BASE MD PC

Practice address

210-08 Northern Blvd
Bayside, NY 11361

Phone

(718) 281-4461

Fax

(718) 281-0566

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Marvin Base, M.D

Title

Physician/Principal

Phone

(718) 281-4461

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1114204682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210-08 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-281-4461",
            "fax_number": "718-281-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210-08 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-281-4461",
            "fax_number": "718-281-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN BASE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "BASE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PHYSICIAN/PRINCIPAL",
        "authorized_official_telephone_number": "718-281-4461",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY187770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01888251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Marrero, M.D.
• Jaime Marrus
• Jessica Marsanico, M.S., CCC-SLP
• Trina Martinez, RN
• Zahra M Martinez
• Nicole Mascoli
• Marisa Masi, PHARMD
• Saul F Maslavi, MD
• Vered Maslavi, DDS
• Sara Mathew

• Internal Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.