DR. BORIS MARSHALIK (NPI# 1629168604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629168604 |
| Entity Type | Individual |
| Full Name | DR. BORIS MARSHALIK |
| Credential | M.D. |
| Practice Address |
2966 Ocean Ave Brooklyn NY 11235-3202 |
| Practice Telephone | 7189345065 |
| Practice Fax Number | 7189346298 |
| Mailing Telephone | 7189345065 |
| Mailing Fax Number | 7189346298 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
210682 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01918574 | 05 |
| Street Address |
2966 OCEAN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987222 | Lana Voronin | Pediatrics | 2966 Ocean Ave, Brooklyn, NY 11235-3202 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1912169392 | Gates Pediatrics PC | Pediatrics | 1532 Gates Ave, Brooklyn, NY 11237-5727 | 2008-06-27 |
| 1588790018 | Melanie A Bravo | Pediatrics | 1650 E 91st St, Brooklyn, NY 11236-5218 | 2007-02-26 |
| 1447308697 | Prudence A Osei-tutu Sr. | Pediatrics | 84 Linden Blvd, Brooklyn, NY 11226-3301 | 2007-01-06 |
| 1114084399 | Ada Ruderman | Pediatrics | 1208 Avenue Z, Brooklyn, NY 11235-4302 | 2007-01-03 |
| 1962560615 | Marie France Conde | Pediatrics | 350 Ocean Ave, Brooklyn, NY 11226-1362 | 2006-12-05 |
| 1497826267 | Leonore Beth Max | Pediatrics | 1103 Cortelyou Road, Brooklyn, NY 11218-5303 | 2006-11-13 |
| 1356424915 | Jack Sadacka | Pediatrics | 813 Quentin Rd Ste 202, Brooklyn, NY 11223-2220 | 2006-10-24 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.