Active NPI
Marina Podval, MD
- Internal Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214459
- Practice address
- 4332 Kissena Blvd
La
Flushing, NY 11355-2934 - Phone
- (718) 939-0609
- Fax
- (718) 939-4509
- NPI assigned
- Aug 17, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214459 | NY | Primary |
Addresses
Primary practice location
4332 Kissena Blvd
La
Flushing, NY 11355-2934
Mailing address
4332 Kissena Blvd
La
Flushing, NY 11355-2934
Phone (718) 939-0609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02041798 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
43 -32 Kissena Blvd
Suite la
Flushing, NY 11355-2934
Phone (718) 939-0609
68 Ave O
Ground Floor
Brooklyn, NY 11204-6427
Phone (718) 975-7002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214459 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina Podval Medical PC | Internal Medicine | Current | Accepting new patients |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| Marina Podval PC | Internal Medicine | Past | Accepting new patients |
Locations
7206 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-9191
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1245554609
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1982717237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4332 KISSENA BLVD",
"address_2": "LA",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552934",
"telephone_number": "718-939-0609",
"fax_number": "718-939-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4332 KISSENA BLVD",
"address_2": "LA",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552934",
"telephone_number": "718-939-0609",
"fax_number": "718-939-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODVAL",
"first_name": "MARINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "214459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02041798",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.