DR. JENNIFER MARIE MARQUES O.D., NPI 1639284755 — NEW YORK (NY)

NPI 1639284755

13+ Years Experience Individual

DR. JENNIFER MARIE MARQUES O.D.

08/20/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1639284755
NPI NUMBER

About DR. JENNIFER MARIE MARQUES

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. JENNIFER MARIE MARQUES is a provider established in NEW YORK, NY. The NPI number of DR. JENNIFER MARIE MARQUES is 1639284755 and was assigned on 08/20/2006. The practitioners primary taxonomy code is: 152WC0802X with license number: TUV007036 NY .

Mailing address

  • City: YONKERS
  • State: NY
  • Postal code: 107032319
  • Phone: 9144943620
  • Address: 258 WOODLAND AVE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1639284755
  • Phone : 2129384155
  • Postalcode : 100368005
  • Address : 33 W 42ND ST

Provider taxonomy - Optometrist

  • Taxonomy code: 152WC0802X
  • License number: TUV007036
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea"s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Contacts:

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  • DR. JENNIFER MARIE MARQUES O.D.
  • Address : 33 W 42ND ST
  • Region : NEW YORK, NY
  • NPI : 1639284755
  • Phone : 2129384155
  • Postalcode : 100368005

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address33 W 42ND ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100368005
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2129384155
The telephone number associated with the location address of the provider being identified.
NPI1639284755
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1152WC0802X
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea"s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Provider Enumeration Date08/20/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JENNIFER MARIE MARQUES
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address258 WOODLAND AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameYONKERS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code107032319
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9144943620
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1152WC0802X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Optometrist
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea"s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Provider License Number 1TUV007036
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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