Individual provider Active NPI

Marc Richard Hilaire, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1902998255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224855 Issued in NY
Practice address
3414 Church Ave
Carribean American Family Health Center
Brooklyn, NY 11203-2714
Phone
(718) 940-9425
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224855 NY Primary

Addresses

Primary practice location

3414 Church Ave
Carribean American Family Health Center
Brooklyn, NY 11203-2714

Mailing address

5800 3Rd Ave
Managed Care Department
Brooklyn, NY 11220-3702
Phone (718) 630-7477

Other identifiers 1

IdentifierTypeStateIssuer
02276873MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000968 NY Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Other (Physician) 1951295260 Reassigns benefits to 1 organization
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Instruction Project Community Services, Inc. CurrentSince Jun 16, 2018 Accepting new patients
St. Joseph'S Hospital, Yonkers CurrentSince Jul 9, 2021 Accepting new patients
Errol L. Thompson MD PC Past Accepting new patients
Vocational Instruction Project Community Services Inc Past Accepting new patients
Bronx Medical Diagnostic, P.C. PastSince Oct 1, 2010 Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Locations

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

Organizations & group practices 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902998255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "MANAGED CARE DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7477",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 CHURCH AVE",
            "address_2": "CARRIBEAN AMERICAN FAMILY HEALTH CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032714",
            "telephone_number": "718-940-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAIRE",
        "first_name": "MARC",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02276873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.