Active NPI
Marie Gelin
- Social Worker
- Staten Island, NY
National Provider Identifier
1225612104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 77 Chicago Ave
Staten Island, NY 10305-3757 - Phone
- (718) 442-7828
- NPI assigned
- May 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
77 Chicago Ave
Staten Island, NY 10305-3757
Mailing address
77 Chicago Ave
Staten Island, NY 10305-3757
Other practice location 1
6214 Riverdale Ave
Bronx, NY 10471-1032
Phone (718) 701-4807 ext. 403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1225612104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CHICAGO AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CHICAGO AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053757",
"telephone_number": "718-442-7828"
}
],
"practiceLocations": [
{
"address_1": "6214 Riverdale Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104711032",
"country_code": "US",
"telephone_number": "718-701-4807 x403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELIN",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.