Organization Active NPI

Marc Braunstein MD PLLC

  • Allergy & Immunology Physician
  • Woodmere, NY
National Provider Identifier
1235653007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
267577 Issued in NY
Legal business name
MARC BRAUNSTEIN MD PLLC
Practice address
540 Green PL
Woodmere, NY 11598-1923
Phone
(516) 301-7739
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marc Z Braunstein, MDNPI 1215358908
Title
Physician
Phone
(516) 301-7739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 267577 NY Primary

Addresses

Primary practice location

540 Green PL
Woodmere, NY 11598-1923

Mailing address

540 Green PL
Woodmere, NY 11598-1923
Phone (516) 301-7739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190708000371 NY Part B Supplier - Clinic/Group Practice 9133460785 Receives reassigned benefits from 1 practitioner
Practice locations: Hewlett, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235653007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GREEN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981923",
            "telephone_number": "516-301-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GREEN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981923",
            "telephone_number": "516-301-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC BRAUNSTEIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-301-7739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "267577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.