Active NPI
Carmen E Marrero
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1659957033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 1452366201
- Practice address
- 465 Grand St FL 2
New York, NY 10002-4800 - Phone
- (914) 817-2239
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1452366201 | NY | Primary |
Addresses
Primary practice location
465 Grand St FL 2
New York, NY 10002-4800
Mailing address
100 Bellamy Loop Apt 12B
Bronx, NY 10475-3755
Phone (914) 817-2239
Other practice location 1
4302 New Utrecht Ave
Brooklyn, NY 11219-1831
Phone (914) 817-2239
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmarrero9@schools.nyc.gov | Direct | hand in hand development inc |
| Direct Messaging Address | cmarrero9@schools.nyc.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452366201 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1659957033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BELLAMY LOOP APT 12B",
"city": "BRONX",
"state": "NY",
"postal_code": "104753755",
"telephone_number": "914-817-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 GRAND ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024800",
"telephone_number": "914-817-2239"
}
],
"practiceLocations": [
{
"address_1": "4302 New Utrecht Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112191831",
"country_code": "US",
"telephone_number": "914-817-2239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRERO",
"first_name": "CARMEN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "1452366201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmarrero9@schools.nyc.gov",
"affiliation": "Y",
"affiliationName": "hand in hand development inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "465 Grand St Fl 2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100024800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmarrero9@schools.nyc.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4302 New Utrecht Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112191831",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.