Individual provider Active NPI

Salvatore Marchica

  • Psychiatric/Mental Health Nurse Practitioner
  • Merrick, NY
National Provider Identifier
1679449367
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407705 Issued in NY
Practice address
2630 Riverside Ave
Merrick, NY 11566-4515
Phone
(718) 954-0850
NPI assigned
Oct 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407705 NY Primary
Registered Nurse 163W00000X 803949 NY

Addresses

Primary practice location

2630 Riverside Ave
Merrick, NY 11566-4515

Mailing address

2630 Riverside Ave
Merrick, NY 11566-4515

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

LicenseStateTypeSpecialty
803949NYMDRegistered Nurse
407705NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1679449367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664515",
            "telephone_number": "718-954-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHICA",
        "first_name": "SALVATORE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-11",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407705",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "803949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.