Active NPI
Marian David, MD
- Cardiovascular Disease Physician
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 211683
- Practice address
- 12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519 - Phone
- (718) 261-0444
- Fax
- (718) 261-0940
- NPI assigned
- Sep 15, 2006
- Last updated
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 211683 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 211683 | NY | Primary |
Addresses
Primary practice location
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Mailing address
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Phone (718) 261-0444
Other practice location 1
550 1st Ave Fl 14
New York, NY 10016-6402
Phone (212) 263-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01877994 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdavid80464@nyumc.direct-ci.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1511
Phone (718) 261-0444
18730 Hillside Ave
Jamaica, NY 11432-3216
Phone (718) 264-1111
4035 95TH St
Elmhurst, NY 11373-6206
Phone (718) 803-8463
4046 74TH St
Elmhurst, NY 11373-5602
Phone (718) 458-1515
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
5806 Junction Blvd
Elmhurst, NY 11373-5155
Phone (718) 592-4555
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211683 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian/Queens | Cardiovascular Disease | Current | Accepting new patients |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Marian David, MD, PC | Specialist | Current | Accepting new patients |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Happy Medical Care PC | Specialist | Current | Accepting new patients |
| Hillside Polymedic Diagnostic & Treatment Center Inc | Current | Accepting new patients | |
| Newyork-Presbyterian-Queens | Current | Accepting new patients | |
| Marco a. Garcia, MD, PC | Current | Accepting new patients | |
| Candida Catucci MD PC | Specialist | Past | Accepting new patients |
| Hillside Polymedic P.C. | Past | Accepting new patients | |
| Imtiyaz I Kapadwala DPM PC | Specialist | Past | Accepting new patients |
| Gramercy Cardiac Diagnostic Services, P.C. | Past | Accepting new patients | |
| Marian David, MD PC | Specialist | Past | Accepting new patients |
| Marissa T Santos, MD PC | Past | Accepting new patients | |
| Lenox Hill Interventional Cardiac & Vascular Services PC | Past | Accepting new patients | |
| Forest Hills Nuclear Spect Imaging PC | Past | Accepting new patients | |
| Liviu Georgescu Medical PC | Specialist | Past | Accepting new patients |
| Brooklyn Nuclear Spect Imaging, PC | Cardiovascular Disease | Past | Accepting new patients |
| South Beach Medical PC | Past | Accepting new patients | |
| Cardiology Services, PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
220 Saint Nicholas Ave
Brooklyn, NY 11237
Phone (718) 288-2515
220 Saint Nicholas Ave
#A
Brooklyn, NY 11237
Phone (718) 417-4740
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
5806 Junction Blvd
Flushing, NY 11373
Phone (718) 532-4555
11241 Queens Blvd
Ste Lla
Forest Hills, NY 11375
Phone (718) 251-8050
6915 Austin St
Forest Hills, NY 11375
Phone (718) 263-3500
17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021
18730 Hillside Ave
Jamaica, NY 11432
Phone (718) 264-1111
12510 Queens Blvd
Ste 2701
Kew Gardens, NY 11415
Phone (718) 761-2950
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
550 1st Ave
Fl 14
New York, NY 10016
Phone (212) 263-0855
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
9777 Queens Blvd
Fl 9
Rego Park, NY 11374
Phone (212) 695-5122
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEDCBA
- https://fhir4.healow.com/fhir/r4/JFIBBA
- mariand@hillsidepolymedic.medentdirect.com
- mrd9206@direct.nyp.org
Organizations & group practices 21
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.
-
- Specialist
- Kew Gardens, NY
- NPI 1194721043
-
- Specialist
- Elmhurst, NY
- NPI 1487938502
-
- Clinic/Center
- Jamaica, NY
- NPI 1689879280
-
- General Practice Physician
- Jackson Heights, NY
- NPI 1932326246
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1922017789
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
-
dba Transitional Care Unit
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1518912096
-
- Specialist
- Elmhurst, NY
- NPI 1023178621
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1992782171
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1619073046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave Fl 14",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5656",
"fax_number": "718-261-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "MARIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "211683",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "211683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01877994",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdavid80464@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "550 1st Ave Fl 14",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.