Active NPI
Marcelle Dublin
- Prosthetics Case Management
- Brooklyn, NY
National Provider Identifier
1730650235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- AEC1709736
- Practice address
- 418 New Lots Ave
Brooklyn, NY 11207-6408 - Phone
- (347) 661-7612
- NPI assigned
- Dec 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | AEC1709736 | Primary |
Addresses
Primary practice location
418 New Lots Ave
Brooklyn, NY 11207-6408
Mailing address
418 New Lots Ave
Brooklyn, NY 11207-6408
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1730650235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 NEW LOTS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112076408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 NEW LOTS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112076408",
"telephone_number": "347-661-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBLIN",
"first_name": "MARCELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-09",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": "AEC1709736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.