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
- Last updated
- Mar 11, 2023
- 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
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) | 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
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.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1619258886
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.