Individual provider Active NPI

Marcie B Cobelli, RNP

  • Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1467537761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F331878 Issued in NY
Practice address
MMC - Dept. of Orthopedic Surg
1695 Eastchester Road, 2ND FL.
Bronx, NY 10461
Phone
(718) 405-8131
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Nurse Practitioner 363L00000X F331878 NY Primary

Addresses

Primary practice location

MMC - Dept. of Orthopedic Surg
1695 Eastchester Road, 2ND FL.
Bronx, NY 10461

Mailing address

129 Carthage Rd
Scarsdale, NY 10583-7201
Phone (718) 405-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000070 NY Practitioner - Nurse Practitioner 1254222920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331878NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 16, 1997 Accepting new patients
Montefiore Medical Center CurrentSince Jul 16, 1997 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1250 Waters Pl
Fl 11
Bronx, NY 10461
Phone (347) 577-4410

1695 Eastchester Rd
Ste 200
Bronx, NY 10461
Phone (718) 405-8131

1695 Eastchester Rd
Fl 2
Bronx, NY 10461
Phone (718) 405-8131

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

Networks

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

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467537761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CARTHAGE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837201",
            "telephone_number": "718-405-8131",
            "fax_number": "718-405-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF ORTHOPEDIC SURG",
            "address_2": "1695 EASTCHESTER ROAD, 2ND FL.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-405-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBELLI",
        "first_name": "MARCIE",
        "middle_name": "B",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F331878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.