Active NPI
Debra Marcelonis
- Podiatrist
- Briarwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004775
- Practice address
- 8515 Main St
Briarwood, NY 11435-1849 - Phone
- (718) 523-7186
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004775 | NY | Primary |
Addresses
Primary practice location
8515 Main St
Briarwood, NY 11435-1849
Mailing address
8515 Main St
Briarwood, NY 11435-1849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P56501 | Other | NY | NEW YORK MEDICARE PART B |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3080 Atlantic Ave
Brooklyn, NY 11208-1268
Phone (718) 647-0240
Hospital & facility affiliations
- Jamaica Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 42 |
| Removal or shaving of skin growth | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004775 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Family Care Center, Inc. | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Brookdale Family Care Center, Inc. | Podiatrist | Current | Accepting new patients |
| Urban Strategies Brookdale Family Care Center Inc | Podiatrist | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Past | Accepting new patients | |
| Sanderson Medical PC | Past | Accepting new patients | |
| Jamaica Hospital Medical Center | Past | Accepting new patients |
Locations
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240
1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133
465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133
1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132
2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132
15610 Crossbay Blvd
Howard Beach, NY 11414
Phone (717) 323-3589
18803 Jamaica Ave
Jamaica, NY 11423
Phone (718) 740-2060
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dmarcelonis3233@direct.medisys.org
Organizations & group practices 10
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1962459644
Podiatrist
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1215984422
Podiatrist
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285758771
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
-
- Family Medicine Physician
- Briarwood, NY
- NPI 1306032305
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1871501478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 MAIN ST",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 MAIN ST",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351849",
"telephone_number": "718-523-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELONIS",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK MEDICARE PART B",
"identifier": "P56501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.