Marco K Michelson, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

188110 Issued in NY

Practice address

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

Phone

(917) 771-2111

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• B R Sales MD PC

  • Clinic/Center
  • Flushing, NY
  • NPI 1629025341
  NPD (past)
• Infectious Disease Medical Practice of Ny LLC

  • Infectious Disease Physician
  • Smithtown, NY
  • NPI 1225255524
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1770735920",
    "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"
        },
        {
            "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": {
        "last_name": "MICHELSON",
        "first_name": "MARCO",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "188110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis William Meade, PHD
• Michelle Mendez, LMHC
• Zelda Chait Meyers
• Karen A Mezzullo, MA SPECIAL EDUCATION
• Glenda Lynn Michaels
• Karla Minott, LPN
• Niki Mirabella, MS.,ED.
• Ariel Dava Mizrahi
• Yasmin Mohamed, D.O.
• Sally Ann Mohammed, LPN

• 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.