Individual provider Active NPI

Marleny Erazo, PA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1316254105
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014087 Issued in NY
Practice address
70 W Burnside Ave
Women's Health & Birthing Pavillion @ MHHC
Bronx, NY 10453-4016
Phone
(718) 716-2229
NPI assigned
Sep 1, 2010
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014087 NY Primary

Addresses

Primary practice location

70 W Burnside Ave
Women's Health & Birthing Pavillion @ MHHC
Bronx, NY 10453-4016

Mailing address

70 W Burnside Ave
Women's Health & Birthing Pavillion @ MHHC
Bronx, NY 10453-4016
Phone (718) 716-2229

Other identifiers 1

IdentifierTypeStateIssuer
014087OtherNYLICENSE

Other names 1

  • Marleny Almanzar Former name

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
I20111207000375 NY Practitioner - Physician Assistant 1557536315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Oct 30, 2017 Accepting new patients

Locations

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

Interoperability endpoints

  • Direct secure messaging: marleny.erazo.p1@direct.mhhc.nextgenshare.com

Organizations & group practices 2

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1316254105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W BURNSIDE AVE",
            "address_2": "WOMEN'S HEALTH & BIRTHING PAVILLION @ MHHC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534016",
            "telephone_number": "718-716-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BURNSIDE AVE",
            "address_2": "WOMEN'S HEALTH & BIRTHING PAVILLION @ MHHC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534016",
            "telephone_number": "718-716-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAZO",
        "first_name": "MARLENY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "014087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENY",
            "last_name": "ALMANZAR",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.