Danguole Marullo I

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F345662 Issued in NY

Practice address

270 Ilyssa Way
Staten Island, NY 10312-1382

Phone

(347) 495-1747

NPI assigned

Mar 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  Medicare reassignment NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment NPD
• 464 Bay Ridge Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1912568981
  NPD (past)

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1720612674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ILYSSA WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121382",
            "telephone_number": "347-495-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 ILYSSA WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121382",
            "telephone_number": "347-495-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARULLO",
        "first_name": "DANGUOLE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Caesar Martus
• Lydia Marty-Meyerson, FNP
• Inna Martyniuk, MS
• Marissa Ann Marucci, BA, MD
• Yolanda Marull
• Shira Marvet, OTR/L
• Marwa Moussa Physician PC
• Pamela Bella Marx, MS,CCC-A
• Mary a. Nasso DDS & Eleanor J. Olsen DDS,PC
• Mary Connolly LMSW PC

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.