Individual provider Active NPI

Carmela Maria Marchese, RN

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1346651049
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308834-01 Issued in NY
Practice address
220 E 42ND St FL 6
New York, NY 10017-5831
Phone
(646) 453-6900
Fax
(646) 453-6900
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 682494-1 NY
Adult Health Nurse Practitioner 363LA2200X 308834-01 NY Primary

Addresses

Primary practice location

220 E 42ND St FL 6
New York, NY 10017-5831

Mailing address

220 E 42ND St FL 6
New York, NY 10017-5831
Phone (646) 453-6900

Other identifiers 1

IdentifierTypeStateIssuer
682494-1MedicaidNY

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
I20190802000583 NY Practitioner - Nurse Practitioner 9335475029 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
682494-1NYMDRegistered Nurse
308834-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Jun 17, 2019 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Apr 14, 2025 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Apr 7, 2023 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1346651049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175831",
            "telephone_number": "646-453-6900",
            "fax_number": "646-453-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175831",
            "telephone_number": "646-453-6900",
            "fax_number": "646-453-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "CARMELA",
        "middle_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "682494-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308834-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682494-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.