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

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, MD

Title

President

Phone

(917) 771-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.