Carline Marcelin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

695769-01 Issued in NY

Practice address

42 Polo Rd
Massapequa, NY 11758-5938

Phone

(718) 724-3173

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1497042717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 POLO RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585938",
            "telephone_number": "718-724-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 POLO RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585938",
            "telephone_number": "718-724-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "CARLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304843",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "695769-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana M Manfre
• Samantha Mann, DPT
• Ayesha Mannan, DO
• Nicholas Manos, D.D.S.
• Emily Marie Maracic
• Christine Beatrice Marchena
• Nicholas A Marchese, DPM
• Robert Morton Marcus, MD
• Andrew M Margulies, DC
• Maria Corso, LCSW, P.C.

• Registered Nurse in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.