Individual provider Active NPI

Jake Marika, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1205360955
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
305558 Issued in NY
Practice address
300 Cadman PLZ W FL 17
Brooklyn, NY 11201-3229
Phone
(718) 822-1818
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 305558 NY Primary

Addresses

Primary practice location

300 Cadman PLZ W FL 17
Brooklyn, NY 11201-3229

Mailing address

300 Cadman PLZ W FL 17
Brooklyn, NY 11201-3229
Phone (718) 822-1818

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
I20201005001894 NY Practitioner - Family Practice 7315283223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
FL 17
Brooklyn, NY 11201-3229
Phone (212) 206-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305558NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Family Medicine CurrentSince Sep 2, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Sep 2, 2020 Accepting new patients
The Institute for Family Health Family Medicine Current Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

Networks

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

Interoperability endpoints

  • Direct secure messaging: jakemarika@mai.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1205360955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W FL 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013229",
            "telephone_number": "718-822-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W FL 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013229",
            "telephone_number": "718-822-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIKA",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "305558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.