Active NPI
Marshalette Stephanie Gillings, MSN, FNP-BC
- Family Nurse Practitioner
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33 338471
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-7393
- Fax
- (718) 869-7806
- NPI assigned
- Jan 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22 581165 | NY | |
| Family Nurse Practitioner | 363LF0000X | 33 338471 | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
Other practice location 1
495 Beach 20th St
Far Rockaway, NY 11691-3621
Phone (347) 619-5950
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 78.68
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 581165 | NY | MD | Registered Nurse |
| 33 338471 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Body Family Health NP, P.C. | Registered Nurse | Current | Accepting new patients |
| St John'S Medical Services PC | Current | Accepting new patients | |
| Episcopal Health Services Inc | Past | Accepting new patients |
Locations
495 Beach 20th St
Far Rockaway, NY 11691
Phone (347) 619-5950
1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- marshalette.gillings.1@24989.direct.athenahealth.com
- marshalette.gillings.1@14448.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- Family Nurse Practitioner
- West Babylon, NY
- NPI 1053183350
Registered Nurse
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1689151201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1417370412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7393",
"fax_number": "718-869-7806"
}
],
"practiceLocations": [
{
"address_1": "495 Beach 20th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116913621",
"country_code": "US",
"telephone_number": "347-619-5950",
"fax_number": "347-619-9053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLINGS",
"first_name": "MARSHALETTE",
"middle_name": "STEPHANIE",
"credential": "MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2023-02-06",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 581165",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "33 338471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.