Individual provider Active NPI

Marieme Mbaye, M.D.

  • Obstetrics & Gynecology Physician
  • Astoria, NY
National Provider Identifier
1154771764
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
304305 Issued in NY
Practice address
2818 Astoria Blvd
Astoria, NY 11102-1932
Phone
(917) 410-6905
Fax
(646) 878-6095
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 304305 NY Primary
Obstetrics & Gynecology Physician 207V00000X LL39727 SC

Addresses

Primary practice location

2818 Astoria Blvd
Astoria, NY 11102-1932

Mailing address

200 W 57TH St Ste 608
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 1

169 Ashley Ave
Room 202 Main Hospital MSC 333
Charleston, SC 29425-8905
Phone (843) 792-7108

Other practice location 2

200 W 57th St Ste 608
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 3

535 Clinton Ave
Brooklyn, NY 11238-6589
Phone (917) 410-6905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000207 NY Practitioner - Obstetrics/Gynecology 1355621681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Ali Rashan MD PLLC CurrentSince Oct 16, 2023 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Mar 1, 2025 Accepting new patients
Doral Pharmacy LLC PastSince Mar 1, 2025 Accepting new patients
Madonna Physicians Services PC Past Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients
Walk in Womens Gynecology PLLC Obstetrics & Gynecology PastSince Jul 27, 2020 Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 286-0741

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

391 Eastern Pkwy
Ste A
Brooklyn, NY 11216
Phone (347) 286-0741

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1154771764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-410-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021932",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital MSC 333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-7108",
            "fax_number": "843-792-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W 57th St Ste 608",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193211",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112386589",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBAYE",
        "first_name": "MARIEME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "304305",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "LL39727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.