Active NPI
Marlene R Burrell, NP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1366450868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F3345161
- Practice address
- 506 Lenox Avenue
Harlem Hospital Center
New York, NY 10037 - Phone
- (212) 939-1000
- Fax
- (212) 939-8337
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F3345161 | NY | Primary |
Addresses
Primary practice location
506 Lenox Avenue
Harlem Hospital Center
New York, NY 10037
Mailing address
38 Remington PL
New Rochelle, NY 10801-3900
Phone (914) 450-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02718312 | Medicaid | NY |
Other names 1
- Ms. Marlene R. McIntosh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3345161 | NY | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mburrell673366@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459641600000",
"number": "1366450868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 REMINGTON PL",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108013900",
"telephone_number": "914-450-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LENOX AVENUE",
"address_2": "HARLEM HOSPITAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10037",
"telephone_number": "212-939-1000",
"fax_number": "212-939-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "MARLENE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F3345161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02718312",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARLENE",
"last_name": "MCINTOSH",
"middle_name": "R.",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.