Individual provider Active NPI

Marsha Williamson, N.P.

  • Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1265552277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F304057 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030-3816
Phone
(516) 570-4404
Fax
(516) 570-4444
NPI assigned
Mar 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F304057 NY Primary

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080818000330 NY Practitioner - Nurse Practitioner 0749355394 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

3007 36TH Ave
Long Island City, NY 11106-2314
Phone (917) 410-6990

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F304057NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
RH Medical Professional PLLC CurrentSince May 1, 2022 Accepting new patients
Harbor Primary Care PLLC CurrentSince Aug 1, 2026 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 1, 2014 Accepting new patients
Hicksville Family Medical Care, PLLC CurrentSince Mar 24, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Apr 1, 2014 Accepting new patients
Abdullah Medical PC CurrentSince Apr 10, 2019 Accepting new patients
JPR Urgent Medical Care Past Accepting new patients

Locations

3706 3rd Ave
Bronx, NY 10456
Phone (347) 591-4136

3750B 3rd Ave
Bronx, NY 10456
Phone (312) 933-8057

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

412 S Broadway
Hicksville, NY 11801
Phone (516) 938-1550

12 N 7th Ave
Fl 5
Mount Vernon, NY 10550
Phone (914) 361-6277

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: marsha.williamson@suwmc.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265552277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-5555",
            "fax_number": "516-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-570-4404",
            "fax_number": "516-570-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MARSHA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F304057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.