Organization Active NPI

Markisic Health Wellness NP in Acute Care PC

  • Acute Care Nurse Practitioner
  • Glendale, NY
National Provider Identifier
1275465916
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
MARKISIC HEALTH WELLNESS NP IN ACUTE CARE PC
Practice address
6817 Myrtle Ave
Glendale, NY 11385-7267
Phone
(718) 873-1444
Fax
(718) 689-7365
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Samra MarkisicNPI 1518445972
Title
NP/President
Phone
(718) 873-1444

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
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

6817 Myrtle Ave
Glendale, NY 11385-7267

Mailing address

6 Coniston CT
Wayne, NJ 07470-2482
Phone (917) 815-4275

National Provider Directory

National Provider Directory

Locations

6817 Myrtle Ave
Glendale, NY 11385
Phone (718) 873-1444

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1275465916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONISTON CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702482",
            "telephone_number": "917-815-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857267",
            "telephone_number": "718-873-1444",
            "fax_number": "718-689-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKISIC HEALTH WELLNESS NP IN ACUTE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MARKISIC",
        "authorized_official_first_name": "SAMRA",
        "authorized_official_title_or_position": "NP/PRESIDENT",
        "authorized_official_telephone_number": "718-873-1444"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.