Marcie M Perboo, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

353327 Issued in NY

Practice address

6946 Bayfield Ave
Arverne, NY 11692-1110

Phone

(347) 623-5306

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• South Shore Family Medical Associates, P.C.

  • Family Medicine Physician
  • Inwood, NY
  • NPI 1720122716

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1265293682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6946 BAYFIELD AVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921110",
            "telephone_number": "347-623-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6946 BAYFIELD AVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921110",
            "telephone_number": "347-623-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERBOO",
        "first_name": "MARCIE",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Okpoghro Overo I, LPN
• Obiageli Theresa Ozor
• Alexandra Janet Pannone, RN
• Mitesh Patel, RPH
• Pooja K Patel, PHARM. D
• Yovana Perez
• Maria Cecilia Pineda, FNP-C
• Brannan Mary Piper, M.S.W., L.C.S.W.
• Terricka Pontoon
• Afolabi Poroye, FNP-BC

• Family Nurse Practitioner in Arverne, NY
• Providers in Arverne, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.