Marcus Garvey Residential Rehab Pavilion

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARCUS GARVEY RESIDENTIAL REHAB PAVILION

Practice address

810 Saint Marks Ave
Brooklyn, NY 11213-1420

Phone

(718) 467-7300

Fax

(718) 467-7878

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Darnell J Coy

Title

Cfo

Phone

(718) 467-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1831159664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT MARKS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131420",
            "telephone_number": "718-467-7300",
            "fax_number": "718-467-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT MARKS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131420",
            "telephone_number": "718-467-7300",
            "fax_number": "718-467-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS GARVEY RESIDENTIAL REHAB PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-467-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314627",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi Marcos
• Shirah Marcos, MS
• Sylvia F Marcos, MD
• Matthew R Marcott, MD
• Chana Marcovich
• Anna K Marcus, MSED
• Ashley Marcus, M.D.
• Ashley Elise Marcus, AU.D.
• Blima Marcus, DNP ANP-BC RN OCN
• Chana E Marcus, MSW

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.