Marina Podval Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARINA PODVAL MEDICAL PC

Practice address

4332 Kissena Blvd Apt la
Flushing, NY 11355-2944

Phone

(718) 454-4356

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Marina PodvalNPI 1982717237

Title

MD

Phone

(718) 232-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Marina Podval Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marina Podval PC

  • Urology Physician
  • Flushing, NY
  • NPI 1508904764
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Podval, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1982717237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1245554609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD APT LA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552944",
            "telephone_number": "718-939-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD APT LA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552944",
            "telephone_number": "718-454-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA PODVAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "PODVAL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-232-9191"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Jude Marciano, R.P.A.-C.
• Ricki Marcus, OTR
• Nana Marfo, MD
• Maria Margallo
• Pauline Margulis, DPT
• Marina Podval PC
• Mark J Ragusa DMD PC
• Mark Novick MD PC
• Leah Markov, MS/ CCC-A
• Miriam Danielle Markowitz, MS, OTR/L

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.