Active NPI
Marsha Moona, ANCILLARY SERVICES
- Phlebotomy Technician
- New York, NY
National Provider Identifier
1669846143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- NO LICENSE NUMBER
- Practice address
- 353 Lexington Ave
New York, NY 10016-0941 - Phone
- (914) 438-4820
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | NO LICENSE NUMBER | NY | Primary |
Addresses
Primary practice location
353 Lexington Ave
New York, NY 10016-0941
Mailing address
1263 Fteley Ave
Bronx, NY 10472-2801
Phone (914) 438-4820
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 |
|---|---|---|---|
| NO LICENSE NUMBER | NY | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1669846143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 FTELEY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104722801",
"telephone_number": "914-438-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160941",
"telephone_number": "914-438-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONA",
"first_name": "MARSHA",
"name_prefix": "Miss",
"credential": "ANCILLARY SERVICES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NY",
"license": "NO LICENSE NUMBER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.