Active NPI
Marjory Paul, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1942643788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012215
- Practice address
- 1St Ave. at 16TH Street
Beth Israel Medical Center
New York, NY 10003 - Phone
- (212) 420-2969
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012215 | NY | Primary |
Addresses
Primary practice location
1St Ave. at 16TH Street
Beth Israel Medical Center
New York, NY 10003
Mailing address
1St Ave. at 16TH Street
Beth Israel Medical Center
New York, NY 10003
Phone (212) 420-2969
Other names 1
- Marjory Paul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1942643788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1ST AVE. AT 16TH STREET",
"address_2": "BETH ISRAEL MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1ST AVE. AT 16TH STREET",
"address_2": "BETH ISRAEL MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "MARJORY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARJORY",
"last_name": "PAUL",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.