NPIMap

Individual provider Active NPI

Marlene Ellen Rackson, M.D

  • Radiological Physics Physician
  • New York, NY
National Provider Identifier
1801825633
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
License
155151 Issued in NY
Practice address
1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Phone
(212) 241-8395
Fax
(212) 289-0092
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics Physician 2085R0205X 155151 NY Primary

Addresses

Primary practice location

1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574

Mailing address

1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Phone (212) 241-8395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000189 NY Practitioner - Diagnostic Radiology 6709864556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

3131 Kings Hwy
FL 1
Brooklyn, NY 11234-2644
Phone (718) 951-2930

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009

425 W 59TH St
New York, NY 10019-8022
Phone (212) 241-8333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155151NYMDRadiological Physics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Past Accepting new patients
Beth Israel Medical Center Radiological Physics Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
West Side Radiology Associates, PC Radiological Physics Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1090 Amsterdam Ave
#3
New York, NY 10025
Phone (212) 523-1784

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1801825633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. LEVY PLACE",
            "address_2": "BOX 1194",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-8395",
            "fax_number": "212-289-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. LEVY PLACE",
            "address_2": "BOX 1194",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-8395",
            "fax_number": "212-289-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKSON",
        "first_name": "MARLENE",
        "middle_name": "ELLEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": "155151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.