Mariam Machabeli, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

270071 Issued in NY

Practice address

765 Grand St
Brooklyn, NY 11211-5797

Phone

(347) 987-4764

Fax

(347) 987-4769

NPI assigned

Sep 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

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.

• Neighborhood Pediatrics of Si PC

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1407092257
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1962837377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115797",
            "telephone_number": "347-987-4764",
            "fax_number": "347-987-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115797",
            "telephone_number": "347-987-4764",
            "fax_number": "347-987-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHABELI",
        "first_name": "MARIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "270071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Macgibbon, MSW
• Arielle Eden Mach, LMSW
• Kelly Anne Mach, M.A.
• Linda Bich Dao Mach, RPH
• Nikhil Macha, MBBS,MD,DRNB
• Juceliesa Noval Machacon, PT, DPT
• Sabrina Kathleen Machado, APRN
• Tinatin Machavariani
• Chole Elaine Machen, PA
• Nisrin Machoune

• Pediatric Adolescent Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.