Marc Everett, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

287559 Issued in NY

Practice address

936 5TH Ave # 1
New York, NY 10021-2653

Phone

(212) 774-7715

Fax

(516) 900-5022

NPI assigned

Sep 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meverett67968@northwell.direct-ci.com

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.

• 936 Fifth Ave Medical Office PLLC

  • Medical Specialty Clinic/Center
  • New York, NY
  • NPI 1811843840
  NPD Authorized official
• Millennial Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1912426735

  Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1619258886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 5TH AVE # 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-774-7715",
            "fax_number": "516-900-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 5TH AVE # 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-774-7715",
            "fax_number": "516-900-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD448452",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A117439",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q7866",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "287559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everest Medical Associates, PLLC
• Erica Everest
• Juanita Evereteze, MD
• Darcie Lyn Everett, MD, MPH
• Kenrick Everett, DPP COACH
• Shaqwanda Everett
• Evergreen Choice LLC
• Evergreen Clinical Services LLC
• Evergreen Global Solutions
• Evergreen Medical Clinic P.C

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.