Individual provider Active NPI

Marva Angela Weir, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1235668765
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
491006 Issued in NY
Practice address
1663 E 17TH St
Brooklyn, NY 11229-1259
Phone
(718) 998-0200
Fax
(718) 339-4172
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 491006 NY Primary

Addresses

Primary practice location

1663 E 17TH St
Brooklyn, NY 11229-1259

Mailing address

1663 E 17TH St
Brooklyn, NY 11229-1259
Phone (718) 998-0200

Other practice location 1

1663 E 17th St
Brooklyn, NY 11229-1259
Phone (718) 998-0200 ext. 369

Other practice location 2

1663 E 17th St
Brooklyn, NY 11229-1259
Phone (718) 998-0200 ext. 369

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
491006NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1235668765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291259",
            "telephone_number": "718-998-0200",
            "fax_number": "718-339-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291259",
            "telephone_number": "718-998-0200",
            "fax_number": "718-339-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291259",
            "country_code": "US",
            "telephone_number": "718-998-0200 x369",
            "fax_number": "718-339-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1663 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291259",
            "country_code": "US",
            "telephone_number": "718-998-0200 x369",
            "fax_number": "718-339-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "MARVA",
        "middle_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "491006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.