Marjorie Mombeleur, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

197785 Issued in NY

Practice address

378 Syosset Woodbury Rd
Woodbury, NY 11797-1200

Phone

(516) 921-3900

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Johnland Nursing Center, Inc.Group PAC ID 9234028929, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Woodbury Heights Nursing and Rehabilitation Center Nursing home, Woodbury, NY, CCN 335555
• St Johnland Nursing Center Nursing home, Kings Park, NY, CCN 335487

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St. Johnland Nursing Center, Inc.

  • Internal Medicine Physician
  • Kings Park, NY
  • NPI 1336219658
  Medicare reassignment Care Compare group NPD
• St. Johnland Nursing Center, Inc.

  • Home Health Agency
  • Kings Park, NY
  • NPI 1609946920
  NPD
• Cold Spring Acquisition LLC

  • Skilled Nursing Facility
  • Woodbury, NY
  • NPI 1477909638
  NPD (past)
• St. Johnland Nursing Center, Inc.

  • Skilled Nursing Facility
  • Kings Park, NY
  • NPI 1295744761
  NPD (past)

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

• Cold Spring Acquisition LLC

  • Skilled Nursing Facility
  • Woodbury, NY
  • NPI 1477909638

  Nursing home

  Care Compare affiliation
• St. Johnland Nursing Center, Inc.

  • Skilled Nursing Facility
  • Kings Park, NY
  • NPI 1295744761

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1831154889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BRANDON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011457",
            "telephone_number": "516-320-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SYOSSET WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971200",
            "telephone_number": "516-921-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBELEUR",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "1977851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eirene Mamakos Milano, MD
• Danielle Nicole Millman
• Preeti Magan Mistry, DDS
• Miranda Seeta Mohabir
• Hany Mohamed, PHARM.D, R.PH, BCGP
• Marnie Marissa Morabito, M.A. CCC-SLP
• Ross Morgan
• Spenser Morgan, DDS
• Jeanine Morris-Rush, M.D.
• Richard Patrick Mosall Jr., PHARM.D

• Internal Medicine Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.