Individual provider Active NPI

Marilyn Forsythe

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1457662736
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
5222721 Issued in NY
Practice address
284 Eastern Pkwy
Apt 3C
Brooklyn, NY 11225-1177
Phone
(718) 399-3042
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 5222721 NY Primary

Addresses

Primary practice location

284 Eastern Pkwy
Apt 3C
Brooklyn, NY 11225-1177

Mailing address

284 Eastern Pkwy
Apt 3C
Brooklyn, NY 11225-1177
Phone (718) 399-3042

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5222721NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1457662736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EASTERN PKWY",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251177",
            "telephone_number": "718-399-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 EASTERN PKWY",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251177",
            "telephone_number": "718-399-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "5222721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.