Individual provider Active NPI

Marla Nord-Henry, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1699248823
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342747 Issued in NY
Practice address
1349 Broadway
Brooklyn, NY 11221-6162
Phone
(718) 975-7720
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342747 NY Primary
Primary Care Nurse Practitioner 363LP2300X 342747 NY

Addresses

Primary practice location

1349 Broadway
Brooklyn, NY 11221-6162

Mailing address

50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381

Other practice location 1

1349 Broadway
Brooklyn, NY 11221-6162
Phone (718) 975-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000051 NY Practitioner - Nurse Practitioner 4284059908 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RJ Medical and Urgent Care PLLCGroup PAC ID 0547567828, 5 clinicians

Practice addresses (Care Compare)

464 Bay Ridge Ave
Suite a
Brooklyn, NY 11220-5906
Phone (718) 680-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342747NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Healthcare, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Medical Director Services PC CurrentSince Jun 26, 2023 Accepting new patients
R Joudeh Medical Pavilion, PLLC CurrentSince Sep 8, 2025 Accepting new patients
464 Bay Ridge Medical PLLC PastSince Sep 15, 2023 Accepting new patients

Locations

466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 491-2007

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1485 Dumont Ave
Brooklyn, NY 11208
Phone (718) 521-4442

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ms_mnordhe@landmarkhealth-direct.org
  • Direct secure messaging: marla.nord-henry.1@24989.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1699248823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD # 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216162",
            "telephone_number": "718-975-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112216162",
            "country_code": "US",
            "telephone_number": "718-975-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORD-HENRY",
        "first_name": "MARLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342747",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "342747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.