Active NPI
Marleny Erazo, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1316254105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014087
- 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, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014087 | Other | NY | LICENSE |
Other names 1
- Marleny Almanzar
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Heights Health Center, Inc. | Current | Accepting new patients |
Locations
85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1104374685
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.