Individual provider Active NPI

Dawn Marsala, MS ED

  • Specialist
  • New York, NY
National Provider Identifier
1396006144
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2196683 Issued in NY
Practice address
610 W 112TH St
Bank Street Family Center
New York, NY 10025-1898
Phone
(212) 875-4412
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2196683 NY Primary

Addresses

Primary practice location

610 W 112TH St
Bank Street Family Center
New York, NY 10025-1898

Mailing address

24 Winoka Dr
Huntington Station, NY 11746-2049
Phone (516) 713-6310

Other identifiers 1

IdentifierTypeStateIssuer
2196683OtherNYNYS TEACHER CERTIFICATION NUMBER

Other names 1

  • Dawn Daly Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2196683NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bank Street College of Education Past Accepting new patients

Organizations & group practices 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1396006144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WINOKA DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462049",
            "telephone_number": "516-713-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 112TH ST",
            "address_2": "BANK STREET FAMILY CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251898",
            "telephone_number": "212-875-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSALA",
        "first_name": "DAWN",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2196683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS TEACHER CERTIFICATION NUMBER",
            "identifier": "2196683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DALY",
            "credential": "MS ED",
            "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 Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.