Michael Marsillo, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005287 Issued in NY

Practice address

1104 77TH St
Brooklyn, NY 11228-2336

Phone

(718) 833-4822

NPI assigned

Oct 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• South Brooklyn Health Center

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1811089816
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1811077845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282336",
            "telephone_number": "718-833-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282336",
            "telephone_number": "718-833-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSILLO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Marshall
• Avigdor Marshel, O.T.
• Rachel Marshel
• Joelle Marsicano
• Christina Marsiello, M.A.
• Justin Wu Marson, MD
• Crystal Marsonia, LCSW
• Devora Leah Marsow, M.S.
• Devorah L Marsow, SLP
• Sheyna Marsow

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.