Individual provider Active NPI

Marianne Wertheim Makman, M.D.

  • Psychiatry Physician
  • New Rochelle, NY
National Provider Identifier
1457423931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
094150 Issued in NY
Practice address
46 Rogers Dr
New Rochelle, NY 10804-1013
Phone
(914) 636-2338
Fax
(914) 636-2773
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 094150 NY Primary

Addresses

Primary practice location

46 Rogers Dr
New Rochelle, NY 10804-1013

Mailing address

46 Rogers Dr
New Rochelle, NY 10804-1013
Phone (914) 636-2338

Other identifiers 1

IdentifierTypeStateIssuer
00154756MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457423931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ROGERS DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041013",
            "telephone_number": "914-636-2338",
            "fax_number": "914-636-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ROGERS DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041013",
            "telephone_number": "914-636-2338",
            "fax_number": "914-636-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKMAN",
        "first_name": "MARIANNE",
        "middle_name": "WERTHEIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "094150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00154756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, 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.

Verify at the official NPI Registry.