Active NPI
Marietta L Cameron, M.S.
- Specialist
- Brooklyn, NY
National Provider Identifier
1972846996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1787909
- Practice address
- 1831 Fulton St
3D
Brooklyn, NY 11233-2254 - Phone
- (347) 524-4507
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1787909 | NY | Primary |
Addresses
Primary practice location
1831 Fulton St
3D
Brooklyn, NY 11233-2254
Mailing address
PO Box 920213
Arverne, NY 11692-0213
Phone (347) 524-4507
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1787909 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1972846996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920213",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116920213",
"telephone_number": "347-524-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 FULTON ST",
"address_2": "3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332254",
"telephone_number": "347-524-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "MARIETTA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1787909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.