Individual provider Active NPI

Marian David, MD

  • Cardiovascular Disease Physician
  • Kew Gardens, NY
National Provider Identifier
1619073046
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
211683 Issued in NY
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01877994MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000726 NY Practitioner - Cardiovascular Disease (Cardiology) 7810884863 Reassigns benefits to 7 organizations

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
Marian David MD PCGroup PAC ID 6406743442, 5 clinicians
Hillside Polymedic Diagnostic and Treatment Center IncGroup PAC ID 5496977910, 8 clinicians
Marco a. Garcia, MD, PCGroup PAC ID 9436254331, 4 clinicians
Queens Medical Office, P.C.Group PAC ID 8224033535, 9 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Happy Medical Care PCGroup PAC ID 3870760242, 3 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211683NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens Cardiovascular Disease CurrentSince Jan 1, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jun 1, 2013 Accepting new patients
Marian David, MD, PC Specialist CurrentSince May 1, 2003 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jun 1, 2013 Accepting new patients
Happy Medical Care PC Specialist CurrentSince Feb 20, 2012 Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Jan 1, 2013 Accepting new patients
Marco a. Garcia, MD, PC CurrentSince Apr 15, 2009 Accepting new patients
Candida Catucci MD PC Specialist PastSince Jan 1, 1996 Accepting new patients
Hillside Polymedic P.C. PastSince Aug 1, 2015 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 PastSince Jan 1, 1999 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFIBBA
  • Direct secure messaging: mariand@hillsidepolymedic.medentdirect.com
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.