Individual provider Active NPI

Marvin Stewart Becker, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1487661286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
148064 Issued in NY
Practice address
2035 Ralph Ave
B2
Brooklyn, NY 11234-5300
Phone
(718) 968-9200
Fax
(718) 444-5054
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Internal Medicine Physician 207R00000X 148064 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
B2
Brooklyn, NY 11234-5300

Mailing address

6 Royal CT
Manalapan, NJ 07726-3205
Phone (732) 972-2272

Other identifiers 3

IdentifierTypeStateIssuer
00839276MedicaidNY
09D042OtherNYBLUE CROSS
0067731OtherNYGHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000227 NY Practitioner - Internal Medicine 6002074861 Reassigns benefits to 1 organization
Receives reassigned benefits from 9 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Marvin S Becker MD PCGroup PAC ID 3072955467, 6 clinicians

Practice addresses (Care Compare)

2035 Ralph Ave
Brooklyn, NY 11234-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148064NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin S Becker, M.D. P.C. Internal Medicine CurrentSince Apr 20, 2024 Accepting new patients

Locations

2035 Ralph Ave
#B2
Brooklyn, NY 11234
Phone (718) 968-9200

2035 Ralph Ave
Ste B2
Brooklyn, NY 11234
Phone (718) 934-9720

2035 Ralph Ave
Ste C
Brooklyn, NY 11234
Phone (718) 968-2059

Networks

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

Practitioners & affiliated clinicians

Practitioners 9

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.

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487661286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROYAL CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263205",
            "telephone_number": "732-972-2272",
            "fax_number": "732-972-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "B2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-968-9200",
            "fax_number": "718-444-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARVIN",
        "middle_name": "STEWART",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00839276",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09D042",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0067731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.