Individual provider Active NPI

Marina Makarovskaya, MD

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1558444760
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
242562 Issued in NY
Practice address
2076 Hylan Blvd
Suite 2
Staten Island, NY 10306-3427
Phone
(718) 979-4865
Fax
(718) 979-1842
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 242562 NY Primary

Addresses

Primary practice location

2076 Hylan Blvd
Suite 2
Staten Island, NY 10306-3427

Mailing address

7 Weaver St
Staten Island, NY 10312-5403
Phone (718) 614-2282

Other identifiers 1

IdentifierTypeStateIssuer
02841647MedicaidNY

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
I20070220000704 NY Practitioner - Family Practice 5496857500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

242 Mason Ave
Staten Island, NY 10305-3408
Phone (718) 226-6494

256 Mason Ave
Staten Island, NY 10305-3408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242562NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Medical Care Services PLLC CurrentSince Apr 1, 2016 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 1, 2020 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 1, 2020 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Comprehensive Rehabilitation Medicine P.C. PastSince Apr 1, 2016 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

2076 Hylan Blvd
Staten Island, NY 10306
Phone (347) 702-4173

2076 Hylan Blvd
#2
Staten Island, NY 10306
Phone (718) 979-4865

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

42 Richmond Ter
Fl 1
Staten Island, NY 10301
Phone (718) 273-2700

Networks

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

Interoperability endpoints

  • Direct secure messaging: mmakarovskaya@upg.ssdirect.aprima.com
  • Direct secure messaging: mmakarovskaya65473@northwell.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1558444760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEAVER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125403",
            "telephone_number": "718-614-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 HYLAN BLVD",
            "address_2": "SUITE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063427",
            "telephone_number": "718-979-4865",
            "fax_number": "718-979-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAROVSKAYA",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02841647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.