Individual provider Active NPI

Karen Marrero, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1427383330
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254995 Issued in NY
Practice address
838 Pelhamdale Ave
New Rochelle, NY 10801-1718
Phone
(914) 632-2030
NPI assigned
Oct 9, 2009
Last updated
Oct 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 254995 NY Primary

Addresses

Primary practice location

838 Pelhamdale Ave
New Rochelle, NY 10801-1718

Mailing address

3555 Oxford Ave
Apt 4a
Bronx, NY 10463-1718
Phone (718) 825-9960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120214000780 FL Practitioner - Internal Medicine 3173653441 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254995NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gutierrez Medical Center, LLC CurrentSince Apr 25, 2023 Accepting new patients
Brightside Psychology & Internal Medicine LLC Past Accepting new patients

Locations

601 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 203-6898

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1427383330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OXFORD AVE",
            "address_2": "APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631718",
            "telephone_number": "718-825-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011718",
            "telephone_number": "914-632-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.