Active NPI
Kerline Marcelin MD,PC
- Ophthalmology Physician
- Cortlandt Manor, NY
National Provider Identifier
1407953284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 206721
- Legal business name
- KERLINE MARCELIN MD,PC
- Practice address
- 1983 Crompond Rd
203
Cortlandt Manor, NY 10567-4121 - Phone
- (914) 737-6360
- Fax
- (914) 136-7935
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kerline Marcelin, MD
- Title
- Chief Officer
- Phone
- (917) 626-9133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 206721 | NY | Primary |
Addresses
Primary practice location
1983 Crompond Rd
203
Cortlandt Manor, NY 10567-4121
Mailing address
388 Summit Ave
Mount Vernon, NY 10552-2206
Phone (917) 626-9133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021716608 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2050 E Main St
Ste 1R4
Cortlandt Manor, NY 10567
Phone (914) 737-6360
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Cortlandt Manor, NY
- NPI 1134151749
-
- Ophthalmology Physician
- Cortlandt Manor, NY
- NPI 1790780633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279843200000",
"number": "1407953284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 SUMMIT AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105522206",
"telephone_number": "917-626-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 CROMPOND RD",
"address_2": "203",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674121",
"telephone_number": "914-737-6360",
"fax_number": "914-136-7935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERLINE MARCELIN MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-07-23",
"status": "A",
"authorized_official_last_name": "MARCELIN",
"authorized_official_first_name": "KERLINE",
"authorized_official_title_or_position": "CHIEF OFFICER",
"authorized_official_telephone_number": "917-626-9133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "206721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021716608",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.