Individual provider Active NPI

Marlon McLeod, MD

  • Anesthesiology Physician
  • Jamaica, NY
National Provider Identifier
1417301797
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
304618 Issued in NY
Practice address
16358 Sayres Ave
Jamaica, NY 11433-3929
Phone
(347) 404-3720
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 304618 NY Primary

Addresses

Primary practice location

16358 Sayres Ave
Jamaica, NY 11433-3929

Mailing address

16358 Sayres Ave
Jamaica, NY 11433-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819001695 NY Practitioner - Anesthesiology 1658797774 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304618NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Single Specialty Current Accepting new patients
New York University Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
New York University CurrentSince Nov 1, 2022 Accepting new patients
Resource Anesthesiology Associates,PC Single Specialty CurrentSince Nov 11, 2022 Accepting new patients
North American Partners in Anesthesia LLP Single Specialty CurrentSince Jun 17, 2020 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

180 Pulaski Rd
Huntington Station, NY 11746
Phone (631) 425-2121

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

145 Huguenot St
New Rochelle, NY 10801
Phone (914) 251-0905

355 W 52nd St
New York, NY 10019
Phone (646) 754-2100

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1417301797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16358 SAYRES AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16358 SAYRES AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333929",
            "telephone_number": "347-404-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MARLON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "304618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.