Active NPI
John P Marshall, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
National Provider Identifier
1477569366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 229581
- Practice address
- 4802 10TH Ave
Department of Emergency Medicine
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6028
- Fax
- (718) 635-7228
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 229581 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Department of Emergency Medicine
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Department of Emergency Medicine
Brooklyn, NY 11219-2916
Phone (718) 283-6029
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Current | Accepting new patients |
| Hematology Oncology Associates of Brooklyn, LLP | Past | Accepting new patients | |
| Ilya Blokh MD PC | Past | Accepting new patients | |
| M2 Medical Community Practice, P.C. | Past | Accepting new patients | |
| KBJ Emergency Medicine FPP | Emergency Medicine | Past | Accepting new patients |
| Larry Tetsoti MD LLC | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- johnmarshall@mai.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1326117615
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1134356736
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1164535464
-
- Urology Physician
- Brooklyn, NY
- NPI 1104067941
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1114320397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477569366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6029",
"fax_number": "718-635-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6028",
"fax_number": "718-635-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "229581",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.