Active NPI
Marilyn Otero, RPAC
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1902030901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 005526-1
- Practice address
- 423 East 23Rd St. 4TH FLR 4N
Nyh VA MC
New York, NY 10010 - Phone
- (212) 686-7500
- Fax
- (212) 951-6876
- NPI assigned
- May 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 005526-1 | NY | Primary |
Addresses
Primary practice location
423 East 23Rd St. 4TH FLR 4N
Nyh VA MC
New York, NY 10010
Mailing address
423 E. 23Rd St
Nyh VA MC
Ny, NY 10010
Phone (212) 686-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005526 | NY | MD | Specialist |
| 005526-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1902030901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 E. 23RD ST",
"address_2": "NYH VA MC",
"city": "NY",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-686-7500",
"fax_number": "212-951-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 EAST 23RD ST. 4TH FLR 4N",
"address_2": "NYH VA MC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-686-7500",
"fax_number": "212-951-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "MARILYN",
"name_prefix": "Ms.",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "005526-1",
"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 Sep 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.