Sana Izzat Marzouq, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310790 Issued in NY

Practice address

147 Amsterdam Ave Apt 544
New York, NY 10023-5026

Phone

(212) 301-0659

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1407583594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 54TH ST APT 612",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196394",
            "telephone_number": "858-472-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 AMSTERDAM AVE APT 544",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235026",
            "telephone_number": "212-301-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOUQ",
        "first_name": "SANA",
        "middle_name": "IZZAT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "310790",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Marzi
• Jacquelyn Rose Marzigliano
• Johara Mae Marzo
• Rina Marzo
• Karim Marzouk, MD
• Peter Michael Marzuk, M.D.
• Vanessa Rose Marzullo
• Francis G Mas, MD
• Randee Carreon Masangya, PT
• Iris Abbe Masarsky, M.A. CCC-SLP

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.