Individual provider Active NPI

Jovanna Marc, CPS

  • Peer Specialist
  • New York, NY
National Provider Identifier
1891403440
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-2545 Issued in NY
Practice address
1970 Adam Clayton Powell Jr Blvd # 308
New York, NY 10026-1743
Phone
(646) 975-8895
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NYCPS-2545 NY Primary

Addresses

Primary practice location

1970 Adam Clayton Powell Jr Blvd # 308
New York, NY 10026-1743

Mailing address

1970 Adam Clayton Powell Jr Blvd # 308
New York, NY 10026-1743
Phone (646) 975-8895

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
NYCPS-2545NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Assistance Resource Centers Inc. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1891403440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 ADAM CLAYTON POWELL JR BLVD # 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261743",
            "telephone_number": "646-975-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ADAM CLAYTON POWELL JR BLVD # 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261743",
            "telephone_number": "646-975-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARC",
        "first_name": "JOVANNA",
        "name_prefix": "Ms.",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-2545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.