Organization Active NPI

Marc Everett MD P.C.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1902332018
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
287559 Issued in NY
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
Last updated
Mar 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Authorized official

Name
Dr. Marc Everett, MDNPI 1619258886
Title
Physician - Owner
Phone
(212) 774-7715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

128 E 62nd St
New York, NY 10065
Phone (516) 673-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.