NPIMap

Individual provider Active NPI

Marshall J Keilson, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1528068954
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
134726 Issued in NY
Practice address
2044 Ocean Ave
Suite A8
Brooklyn, NY 11230-7393
Phone
(718) 759-6065
Fax
(347) 587-3919
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 134726 NY Primary

Addresses

Primary practice location

2044 Ocean Ave
Suite A8
Brooklyn, NY 11230-7393

Mailing address

2044 Ocean Ave
Suite A8
Brooklyn, NY 11230-7393
Phone (718) 759-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001588 NY Practitioner - NeurologyPractitioner - Nephrology 0244219533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Rusk Rehabilitation Inpatient rehabilitation facility, New York, NY, CCN 33T214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Hasc Diagnostic &Treatment Center, Inc CurrentSince Aug 1, 2006 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Aug 1, 2006 Accepting new patients
MMC Division of Neurology FPP CurrentSince Jan 1, 2004 Accepting new patients
New York University CurrentSince Aug 1, 2012 Accepting new patients
New York University CurrentSince Aug 1, 2012 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Locations

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

2044 Ocean Ave
Ste A8
Brooklyn, NY 11230
Phone (718) 258-7474

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: mkeilson37289@nyumc.direct-ci.com
  • Direct secure messaging: marshallkeilson@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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1528068954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUITE A8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307393",
            "telephone_number": "718-759-6065",
            "fax_number": "347-587-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUITE A8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307393",
            "telephone_number": "718-759-6065",
            "fax_number": "347-587-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILSON",
        "first_name": "MARSHALL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "134726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.