Individual provider Active NPI

Debra Marcelonis

  • Podiatrist
  • Briarwood, NY
National Provider Identifier
1871501478
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004775 Issued in NY
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

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P56501OtherNYNEW 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000557 NY Practitioner - Podiatry 0840219499 Reassigns benefits to 4 organizations
Practice locations: Briarwood, NY; Brooklyn, NY

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
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

3080 Atlantic Ave
Brooklyn, NY 11208-1268
Phone (718) 647-0240

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue42
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004775NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 2, 2005 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Brookdale Family Care Center, Inc. Podiatrist CurrentSince Jan 22, 2017 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc Podiatrist CurrentSince Jan 2, 2005 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jan 2, 2005 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.