Active NPI
Marion Smith
- Registered Nurse
- Mamaroneck, NY
National Provider Identifier
1689254633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 413679
- Practice address
- 845 Palmer Ave
Mamaroneck, NY 10543-2406 - Phone
- (914) 864-5131
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 413679 | NY | Primary |
Addresses
Primary practice location
845 Palmer Ave
Mamaroneck, NY 10543-2406
Mailing address
25704 144TH Ave
Rosedale, NY 11422-3313
Phone (718) 909-1398
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 |
|---|---|---|---|
| 413679 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1689254633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25704 144TH AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114223313",
"telephone_number": "718-909-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 PALMER AVE",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432406",
"telephone_number": "914-864-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "413679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.