Individual provider Active NPI

Zeena L Marshall, M.D.

  • Psychiatry Physician
  • Bronxville, NY
National Provider Identifier
1609827575
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME56109 Issued in FL
Practice address
130 Pondfield Rd Ste 1
Bronxville, NY 10708-4016
Phone
(914) 337-3253
Fax
(914) 337-7013
NPI assigned
May 15, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME56109 FL Primary
Psychiatry Physician 2084P0800X 233414 NY
Child & Adolescent Psychiatry Physician 2084P0804X ME56109 FL
Child & Adolescent Psychiatry Physician 2084P0804X 233414 NY
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 233414 NY

Addresses

Primary practice location

130 Pondfield Rd Ste 1
Bronxville, NY 10708-4016

Mailing address

130 Pondfield Rd Ste 1
Bronxville, NY 10708-4016
Phone (914) 337-3253

Other identifiers 2

IdentifierTypeStateIssuer
02958309MedicaidNY
061400900MedicaidFL

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
I20080430000228 NY Practitioner - Psychiatry 5092752758

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56109FLMDChild & Adolescent Psychiatry Physician
233414NYMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: zem2001@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1609827575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD STE 1",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-337-3253",
            "fax_number": "914-337-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD STE 1",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084016",
            "telephone_number": "914-337-3253",
            "fax_number": "914-337-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ZEENA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME56109",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "233414",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME56109",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "233414",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "233414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02958309",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061400900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.