J Marraccini

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003478 Issued in NY

Practice address

299 Guyon Ave
Staten Island, NY 10306-4134

Phone

(718) 667-3627

Fax

(718) 966-1594

NPI assigned

Dec 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Jacqueline Marraccini Crispino Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Darwish Wellness Medical Office PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1427811306
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1942285267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 GUYON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064134",
            "telephone_number": "718-667-3627",
            "fax_number": "718-966-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 GUYON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064134",
            "telephone_number": "718-667-3627",
            "fax_number": "718-966-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACCINI",
        "first_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0018005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033373",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MARRACCINI CRISPINO",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rabih Georges Maroun, MD
• Bernadette Gomez Manabat Marquez, PT
• Alyssa Nicole Marra
• Irina Marra
• Marraccini & Crispino Podiatric LLP
• Denise Marrero, LMSW
• Jessica Ann Marrero, MSED, BCBA, LBA
• Angela Marie Marrone
• Melanie Marrone, R.N.
• Earl R Marrow, DDS

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.