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MARVIN BASE MD PC
NPI 1114204682
Internal Medicine in Bayside, NY

Active since November 10, 2011
210-08 NORTHERN BLVD, BAYSIDE, NY 11361(718) 281-4461(718) 281-0566 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marvin Base Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN BASE MD PC (NPI 1114204682) is a healthcare organization registered as an internal medicine in Bayside, New York and active in the NPI registry since November 2011. The organization lists Marvin Base, Physician/principal, as its authorized official.

NPPES Registry Identity

NPI1114204682
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARVIN BASE MD PC
Location Address210-08 NORTHERN BLVDBayside, NY 11361
Mailing Address210-08 Northern BlvdBayside, NY 11361 · (718) 281-4461 · Fax (718) 281-0566
Phone(718) 281-4461
Fax(718) 281-0566
Organization SubpartNo
Authorized OfficialMarvin BasePhysician/principal · (718) 281-4461
Enumeration DateNovember 10, 2011
✔ NPI 1114204682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · NY187770
Definition
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.
210-08 NORTHERN BLVD, Bayside, NY 11361
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Other Identifiers 4

Medicaid01888251NY
Medicare UPINF60923NY
Medicare PIN009AI1NY
Medicare PIN01301NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Base MD PC's NPI number?

The NPI number for Marvin Base MD PC is 1114204682. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Marvin Base MD PC located?

Marvin Base MD PC is located at 210-08 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 281-4461.

What is Marvin Base MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Marvin Base MD PC was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.