KETZELA JACOBOWITZ MARSH MD NPI 1568789006

NPI Information

  • NPI: 1568789006
  • Provider Name: KETZELA JACOBOWITZ MARSH, MD
  • Classification: Pediatrics - 2080P0208X
  • Specialization: Pediatric Infectious Diseases
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 LAKEVILLE RD STE 300
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (718) 470-3480

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NPI Details

Ketzela Jacobowitz Marsh, MD is a pediatric infectious diseases pediatrics in New Hyde Park, NY with 16 years of experience. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. Ketzela Jacobowitz Marsh, MD NPI is 1568789006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2010

The provider's business location address is:

410 LAKEVILLE RD STE 300
NEW HYDE PARK, NY
ZIP 11042-123
Phone: (718) 470-3480

The NPI 1568789006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 4/23/2010 and was last updated on 10/4/2023.

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
1207RI0200XInternal MedicineInfectious Disease62906MINNESOTANo
22080P0208XPediatricsPediatric Infectious Diseases62906MINNESOTAYes

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: 11/21/2025

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