Individual provider Active NPI

Marilyn Bien-Aime, APN

  • Family Health Clinical Nurse Specialist
  • Queens Village, NY
National Provider Identifier
1467641449
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
26NJ00131900 Issued in NJ
Practice address
22022 Hillside Ave
Queens Village, NY 11427-2020
Phone
(718) 975-7300
Fax
(718) 464-7508
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 26NJ00131900 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ00131900 NJ
Family Nurse Practitioner 363LF0000X 336671 NY

Addresses

Primary practice location

22022 Hillside Ave
Queens Village, NY 11427-2020

Mailing address

41 Kenmore Rd
Valley Stream, NY 11581-2103

Other identifiers 1

IdentifierTypeStateIssuer
0224570MedicaidNJ

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
I20140226001018 NY Practitioner - Nurse Practitioner 2860539772 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00131900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Oltean Physician PC CurrentSince May 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 25, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 25, 2013 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 31, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 31, 2024 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

100 Community Dr
#2
Great Neck, NY 11021
Phone (516) 465-7900

100 Community Dr
Fl 2
Great Neck, NY 11021
Phone (516) 465-8200

1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

22022 Hillside Ave
Queens Village, NY 11427
Phone (718) 975-1311

Networks

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

Interoperability endpoints

  • Direct secure messaging: mbienaime290375@northwell.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1467641449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KENMORE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22022 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272020",
            "telephone_number": "718-975-7300",
            "fax_number": "718-464-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEN-AIME",
        "first_name": "MARILYN",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NJ",
            "license": "26NJ00131900",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00131900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224570",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.