Active NPI
Jaime Marrus
- Psychologist
- Bayside, NY
National Provider Identifier
1528584000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3850 Bell Blvd Ste a
Bayside, NY 11361-2028 - Phone
- (516) 655-5953
- NPI assigned
- Aug 16, 2017
- Last updated
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
3850 Bell Blvd Ste a
Bayside, NY 11361-2028
Mailing address
35 Manetto Dr
Plainview, NY 11803-2124
Other practice location 1
34 W 139th St
New York, NY 10037-1508
Phone (212) 690-7234 ext. 229
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children Services | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1235512989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1528584000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MANETTO DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 BELL BLVD STE A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612028",
"telephone_number": "516-655-5953"
}
],
"practiceLocations": [
{
"address_1": "34 W 139th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100371508",
"country_code": "US",
"telephone_number": "212-690-7234 x229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRUS",
"first_name": "JAIME",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.