Active NPI
Marie Florence Celestin, MD
- Family Medicine Physician
- Deer Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 260716
- Practice address
- 1550 Deer Park Ave Ste 2
Deer Park, NY 11729-6624 - Phone
- (631) 486-9402
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 260716 | NY | Primary |
Addresses
Primary practice location
1550 Deer Park Ave Ste 2
Deer Park, NY 11729-6624
Mailing address
6 Millbrook CT
Dix Hills, NY 11746-7900
Phone (631) 486-9402
Other practice location 1
88 Arkay Dr
Hauppauge, NY 11788-3757
Phone (631) 514-7578
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Howard University College of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1550 Deer Park Ave
Suite 2
Deer Park, NY 11729-6624
Phone (631) 940-1052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island | Current | Accepting new patients | |
| Celestin Medical Care PLLC | Family Medicine | Current | Accepting new patients |
| The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island | Current | Accepting new patients | |
| Erwin Lerebours Medical PLLC | Past | Accepting new patients | |
| LTC Provider Management Corp | Past | Accepting new patients | |
| Island House Doctor | Past | Accepting new patients |
Locations
68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500
1550 Deer Park Ave
Ste 2
Deer Park, NY 11729
Phone (631) 940-1052
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHCECD/Endpoint/BHCECD
Organizations & group practices 7
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.
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- Home Health Agency
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- Skilled Nursing Facility
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- NPI 1346694502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1316192552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MILLBROOK CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467900",
"telephone_number": "631-486-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 DEER PARK AVE STE 2",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117296624",
"telephone_number": "631-486-9402"
}
],
"practiceLocations": [
{
"address_1": "88 Arkay Dr",
"address_purpose": "LOCATION",
"city": "Hauppauge",
"state": "NY",
"postal_code": "117883757",
"country_code": "US",
"telephone_number": "631-514-7578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELESTIN",
"first_name": "MARIE",
"middle_name": "FLORENCE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "260716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.