Individual provider Active NPI

Marjorie B Serotoff, M.D.

  • Pediatrics Physician
  • Islandia, NY
National Provider Identifier
1467452227
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
150343 Issued in NY
Practice address
3001 Expressway Dr N Ste 100
Islandia, NY 11749
Phone
(631) 434-1770
Fax
(631) 234-6175
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 150343 NY Primary

Addresses

Primary practice location

3001 Expressway Dr N Ste 100
Islandia, NY 11749

Mailing address

3001 Expressway Dr N Ste 100
Islandia, NY 11749-5301
Phone (631) 434-1770

Other practice location 1

1770 Motor Pkwy
Islandia, NY 11749-5260
Phone (631) 434-1770

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

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1467452227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N STE 100",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-434-1770",
            "fax_number": "631-234-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N STE 100",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "631-434-1770",
            "fax_number": "631-234-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Motor Pkwy",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117495260",
            "country_code": "US",
            "telephone_number": "631-434-1770",
            "fax_number": "631-234-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEROTOFF",
        "first_name": "MARJORIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "150343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.