Active NPI
Janette Marcelo, M.D.
- Internal Medicine Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 163914
- Practice address
- 1155 Northern Blvd
Manhasset, NY 11030-3040 - Phone
- (516) 407-4000
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 163914 | NY | Primary |
Addresses
Primary practice location
1155 Northern Blvd
Manhasset, NY 11030-3040
Mailing address
50 Deepdale Pkwy
Roslyn Heights, NY 11577-2302
Phone (516) 528-8502
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478197 | Other | NY | UNITED HEALTHCARE |
| P601994 | Other | NY | OXFORD |
| 00946323 | Medicaid | NY |
Other names 1
- Dr. Janette Yap-Marcelo
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163914 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Single Specialty | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Internal Medicine | Current | Accepting new patients |
Locations
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000
8452 63rd Ave
Middle Vlg, NY 11379
Phone (718) 446-4600
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Single Specialty
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1144337122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DEEPDALE PKWY",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772302",
"telephone_number": "516-528-8502",
"fax_number": "718-446-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 NORTHERN BLVD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303040",
"telephone_number": "516-407-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELO",
"first_name": "JANETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "163914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "478197",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P601994",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00946323",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANETTE",
"last_name": "YAP-MARCELO",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.