Individual provider Active NPI

Marie Meliance Alberic

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1891040192
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
814336 Issued in NY
Practice address
692 E 43Rd St
Brooklyn, NY 11203-6507
Phone
(718) 856-3041
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 814336 NY Primary

Addresses

Primary practice location

692 E 43Rd St
Brooklyn, NY 11203-6507

Mailing address

692 E 43Rd St
Brooklyn, NY 11203-6507
Phone (718) 856-3041

Other identifiers 1

IdentifierTypeStateIssuer
174400000X-SPECIALISOtherNYSERVICE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
814336NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1891040192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036507",
            "telephone_number": "718-856-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036507",
            "telephone_number": "718-856-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERIC",
        "first_name": "MARIE",
        "middle_name": "MELIANCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "814336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE PROVIDER",
            "identifier": "174400000X-SPECIALIS",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.