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MARVIN BASE MD PC NPI 1114204682


NPI Information

NPI: 1114204682
Provider Name: MARVIN BASE MD PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
210-08 NORTHERN BLVD
BAYSIDE, NY
ZIP 11361
Phone: (718) 281-4461
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MARVIN BASE MD PC is an internal medicine in Bayside, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MARVIN BASE MD PC NPI is 1114204682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210-08 NORTHERN BLVD
BAYSIDE, NY
ZIP 11361
Phone: (718) 281-4461
Fax: (718) 281-0566

The provider's authorized official is Marvin Base .
The authorized official title is Physician/principal and has the following contact phone number (718) 281-4461.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 11/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNY187770NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101888251MEDICAIDNEW YORK
2F60923MEDICARE UPINNEW YORK
3009AI1MEDICARE PINNEW YORK
401301MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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