Individual provider Active NPI

Marina Artioukhina

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1508934266
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
002180 Issued in NY
Practice address
71 Metropolitan Oval
Bronx, NY 10462-6402
Phone
(718) 829-6436
Fax
(718) 829-6445
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 002180 NY Primary

Addresses

Primary practice location

71 Metropolitan Oval
Bronx, NY 10462-6402

Mailing address

2202 Steinway St
Astoria, NY 11105-1875
Phone (718) 423-0808

Other identifiers 3

IdentifierTypeStateIssuer
02583246MedicaidNY
A400010646OtherNYBKLYN MEDICARE
A400010647OtherNY26TH ST. MEDICARE

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
I20080614000014 NY Practitioner - Obstetrics/Gynecology 7911078258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Medical, P.C. Obstetrics & Gynecology Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients
A Merryland Operating LLC Past Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients
The Parkway Hospital Past Accepting new patients

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1508934266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051875",
            "telephone_number": "718-423-0808",
            "fax_number": "718-204-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 METROPOLITAN OVAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626402",
            "telephone_number": "718-829-6436",
            "fax_number": "718-829-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIOUKHINA",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "002180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02583246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BKLYN MEDICARE",
            "identifier": "A400010646",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "26TH ST. MEDICARE",
            "identifier": "A400010647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.