Individual provider Active NPI

Marlene Donna Nagler Galvis, R.N.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • New York, NY
National Provider Identifier
1487706503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
3600201 Issued in NY
Practice address
726 Broadway FL 4
New York, NY 10003-9580
Phone
(212) 443-1173
Fax
(212) 443-1167
NPI assigned
Jan 17, 2007
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
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 3600201 NY Primary

Addresses

Primary practice location

726 Broadway FL 4
New York, NY 10003-9580

Mailing address

1474 Taft CT
East Meadow, NY 11554-4425
Phone (516) 489-5658

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3600201NYMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487706503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TAFT CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544425",
            "telephone_number": "516-489-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039580",
            "telephone_number": "212-443-1173",
            "fax_number": "212-443-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLER GALVIS",
        "first_name": "MARLENE",
        "middle_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "R.N.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "3600201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.