Individual provider Active NPI

Marjorie Ordene, M.D.

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1396966990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
158665 Issued in NY
Practice address
2515 Avenue M
Brooklyn, NY 11210-4544
Phone
(718) 258-7882
Fax
(718) 258-0262
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 158665 NY Primary

Addresses

Primary practice location

2515 Avenue M
Brooklyn, NY 11210-4544

Mailing address

2515 Avenue M
Brooklyn, NY 11210-4544
Phone (718) 258-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158665NYMDGeneral Practice Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIDGAA/Endpoint/EIDGAA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396966990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104544",
            "telephone_number": "718-258-7882",
            "fax_number": "718-258-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104544",
            "telephone_number": "718-258-7882",
            "fax_number": "718-258-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDENE",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "158665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.