Individual provider Active NPI

Marsha Dillon White, RN, NP

  • Family Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1932620523
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343362 Issued in NY
Practice address
441 Beach 51St St Apt 3E
Far Rockaway, NY 11691-1025
Phone
(347) 785-4726
NPI assigned
Jul 5, 2017
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22718689 NY
Family Nurse Practitioner 363LF0000X 343362 NY Primary

Addresses

Primary practice location

441 Beach 51St St Apt 3E
Far Rockaway, NY 11691-1025

Mailing address

441 Beach 51St St Apt 3E
Far Rockaway, NY 11691-1025

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3198
Phone (718) 240-5000 ext. 4177

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120000675 NY Practitioner - Nurse Practitioner 2163776634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
22718689NYMDRegistered Nurse
343362NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. CurrentSince Sep 24, 2018 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Apr 1, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Sep 24, 2018 Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 1
Brooklyn, NY 11212
Phone (718) 975-8368

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1932620523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 BEACH 51ST ST APT 3E",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 BEACH 51ST ST APT 3E",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911025",
            "telephone_number": "347-785-4726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123198",
            "country_code": "US",
            "telephone_number": "718-240-5000 x4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON WHITE",
        "first_name": "MARSHA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22718689",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.