Marco K Michelson, MD, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

188110 Issued in NY

Legal business name

MARCO K MICHELSON, MD, PC

Practice address

1051 Port Washington Blvd
No 766
Port Washington, NY 11050-2941

Phone

(917) 771-2111

NPI assigned

Jun 30, 2008

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marco K Michelson, MDNPI 1770735920

Title

President

Phone

(917) 771-2111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marco K Michelson, MD

  • Infectious Disease Physician
  • Port Washington, NY
  • NPI 1770735920
  Authorized official Same address or phone
• Richard Yaldizian, MD

  • Internal Medicine Physician
  • Howard Beach, NY
  • NPI 1033209093
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1700048832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110500766",
            "telephone_number": "917-771-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PORT WASHINGTON BLVD",
            "address_2": "NO 766",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502941",
            "telephone_number": "917-771-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO K MICHELSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-771-2111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "188110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionel U Mailloux, MD
• Mary C Mallappallil, MD
• Bella Manakhimova
• Jamie Lynn Mandel, M.A.
• Adrienne Heather Mandelberger, M.D.
• Catherine Marino Carrozzo, DDS
• Yelena Marks, MS, CCC-SLP
• Gloria Marmor, PH.D.
• Lisa Martin
• Lorraine Marxer, PH.D.

• Infectious Disease Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.