Marlene D Phipps

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

271393-1 Issued in NY

Practice address

12016 Liberty Ave FL 2
South Richmond Hill, NY 11419-2118

Phone

(718) 323-3050

Fax

(718) 323-3052

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bena Home Care Agency Inc

  • Home Health Agency
  • South Richmond Hill, NY
  • NPI 1053852038
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124546338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 LIBERTY AVE FL 2",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192118",
            "telephone_number": "718-323-3050",
            "fax_number": "718-323-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 LIBERTY AVE FL 2",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192118",
            "telephone_number": "718-323-3050",
            "fax_number": "718-323-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "MARLENE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "271393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardath Persaud, RPA
• Varsha Persaud
• Hamza Pervaiz, MD
• Alice Philbert
• Philip R Baldeo Medical Services PC
• Sherly Pierre Charles
• Ahristina Prasad
• Nishant Prashar
• Preet Pharmacy Inc.
• Nordine Presendieu Mondesir

• Registered Nurse in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.