Individual provider Active NPI

Nino Marzella I, PHARM.D.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1992987531
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047282 Issued in NY
Practice address
7501 5TH Ave
Brooklyn, NY 11209-3301
Phone
(718) 492-4495
NPI assigned
Dec 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047282 NY Primary

Addresses

Primary practice location

7501 5TH Ave
Brooklyn, NY 11209-3301

Mailing address

2124 E 1St St
Brooklyn, NY 11223-4723
Phone (718) 946-5101

Other identifiers 1

IdentifierTypeStateIssuer
02187171MedicaidNY

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
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1992987531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 E 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234723",
            "telephone_number": "718-946-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093301",
            "telephone_number": "718-492-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZELLA",
        "first_name": "NINO",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187171",
            "state": "NY"
        }
    ],
    "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 Dec 5, 2007; 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.