Active NPI
Marcy Perlman-Tardio, CNM
- Advanced Practice Midwife
- Brooklyn, NY
National Provider Identifier
1407900491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F000451
- Practice address
- 474 5TH St
Brooklyn, NY 11215-3422 - Phone
- (718) 788-9131
- Fax
- (718) 788-9131
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | F000451 | NY | Primary |
Addresses
Primary practice location
474 5TH St
Brooklyn, NY 11215-3422
Mailing address
474 5TH St
Brooklyn, NY 11215-3422
Phone (718) 788-9131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01805072 | Medicaid | NY |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F000451 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407900491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153422",
"telephone_number": "718-788-9131",
"fax_number": "718-788-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153422",
"telephone_number": "718-788-9131",
"fax_number": "718-788-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN-TARDIO",
"first_name": "MARCY",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F000451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01805072",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.