Active NPI
Marissa Kaminsky, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1578760773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 238988
- Practice address
- 280 Madison Ave
Suite 305B
New York, NY 10016-0801 - Phone
- (646) 350-2818
- NPI assigned
- Jun 29, 2007
- Last updated
- Jun 3, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 238988 | NY | Primary |
Addresses
Primary practice location
280 Madison Ave
Suite 305B
New York, NY 10016-0801
Mailing address
280 Madison Ave
Suite 305B
New York, NY 10016-0801
Phone (646) 350-2818
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160318001885 | NY | Order and Referring Only - Psychiatry | 2163729138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238988 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1578760773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MADISON AVE",
"address_2": "SUITE 305B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160801",
"telephone_number": "646-350-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MADISON AVE",
"address_2": "SUITE 305B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160801",
"telephone_number": "646-350-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKY",
"first_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "238988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.