Mariel Eliza, M.D., PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MARIEL ELIZA, M.D., PLLC

Practice address

400 S Oyster Bay Rd Ste 100
Hicksville, NY 11801-3500

Phone

(516) 234-0073

Fax

(516) 548-1530

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariel Eliza, MDNPI 1811095714

Title

President

Phone

(516) 234-0073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariel Eliza, MD

  • Plastic Surgery Physician
  • Hicksville, NY
  • NPI 1811095714
  Medicare reassignment NPD Authorized official
• Anne Marie Bonifati, PA

  • Physician Assistant
  • Hicksville, NY
  • NPI 1811749864
  NPD
• Elizabeth Ann Durchhalter, PA-C

  • Physician Assistant
  • Hicksville, NY
  • NPI 1114764040
  NPD
• Theresa Durchhalter, D.O.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1427419241
  NPD
• Joanna Susan Trigg, DO

  • Dermatology Physician
  • Hicksville, NY
  • NPI 1073053211
  NPD
• Paul V. Benites, P.A.

  • Physician Assistant
  • Bronx, NY
  • NPI 1821190778
  NPD (past)
• Joel Lewis Lamm, M.D.

  • Dermatology Physician
  • Hicksville, NY
  • NPI 1780667956
  NPD (past)
• Ashley Durchhalter, PA-C

  • Medical Physician Assistant
  • Bridgeport, CT
  • NPI 1649653619
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1457900060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117970404",
            "telephone_number": "516-234-0073",
            "fax_number": "516-548-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD STE 100",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-234-0073",
            "fax_number": "516-548-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL ELIZA, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "ELIZA",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-234-0073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shefali Marchawala, D.D.S.
• Amanda Marchese
• Marcia P Chichester, LCSW, P.L.L.C.
• Helene Marcovici, PA
• Lillian Estelle Margas, RN
• Destiny Isabella Marino
• John M Marino, DDS
• Mark Nyitray DO, PLLC
• Jenna Marie Markakis, LMHC, NCC
• Ashley Marotta, PH.D.

• Plastic Surgery Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.