Individual provider Active NPI

Marie Florence Celestin, MD

  • Family Medicine Physician
  • Deer Park, NY
National Provider Identifier
1316192552
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
260716 Issued in NY
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

Updated by the provider on Aug 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000174 NY Practitioner - Family Practice 9739356528 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island CurrentSince Aug 1, 2015 Accepting new patients
Celestin Medical Care PLLC Family Medicine CurrentSince Sep 15, 2020 Accepting new patients
The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island CurrentSince Aug 1, 2015 Accepting new patients
Erwin Lerebours Medical PLLC PastSince Sep 6, 2020 Accepting new patients
LTC Provider Management Corp PastSince Dec 18, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.