Active NPI
Dawn Marsala, MS ED
- Specialist
- New York, NY
National Provider Identifier
1396006144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2196683
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2196683 | Other | NY | NYS TEACHER CERTIFICATION NUMBER |
Other names 1
- Dawn Daly
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2196683 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1033355011
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.