Active NPI
Marc Everett MD P.C.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1902332018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 287559
- Legal business name
- MARC EVERETT MD P.C.
- Practice address
- 936 5TH Ave # 1
New York, NY 10021-2653 - Phone
- (212) 774-7715
- Fax
- (516) 900-5022
- NPI assigned
- May 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Everett, MD
- Title
- Physician - Owner
- Phone
- (212) 774-7715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 287559 | NY | Primary |
Addresses
Primary practice location
936 5TH Ave # 1
New York, NY 10021-2653
Mailing address
936 5TH Ave # 1
New York, NY 10021-2653
Phone (212) 774-7715
National Provider Directory
National Provider DirectoryLocations
9 E 62nd St
Ofc 1R
New York, NY 10065
Phone (212) 304-4331
128 E 62nd St
New York, NY 10065
Phone (516) 673-6633
6361 99th St
Ste G1
Rego Park, NY 11374
Phone (718) 896-0702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678492800000",
"number": "1902332018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 5TH AVE # 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212653",
"telephone_number": "212-774-7715",
"fax_number": "516-900-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 5TH AVE # 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212653",
"telephone_number": "212-774-7715",
"fax_number": "516-900-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC EVERETT MD P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-10",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PHYSICIAN - OWNER",
"authorized_official_telephone_number": "212-774-7715",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "287559",
"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 Mar 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.