MARINA SHULAMIT TSIVIN FNP
NPI 1114439130
Nurse Practitioner - Family in Brooklyn, NY
About Marina Shulamit Tsivin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA SHULAMIT TSIVIN FNP (NPI 1114439130) is an individual family provider in Brooklyn, New York, licensed in New York (F342368-1) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Wyckoff Heights Medical Center, and maintains a secondary practice location in Brooklyn.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marina Shulamit Tsivin Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Marina Tsivin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11237
- Reassigned Medicare billing, New York enrollment
- 427 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wyckoff Heights Medical Center
Acute Care Hospitals · Brooklyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11237
BROOKLYN, NY 11237
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 Marina Tsivin's NPI number?
The NPI number for Marina Tsivin is 1114439130. It was assigned to this individual provider in the NPPES registry on October 31, 2017.
Where is Marina Tsivin located?
Marina Tsivin practices at 1419 Myrtle Ave, Brooklyn, NY 11237. The listed phone number is (718) 907-4321.
What is Marina Tsivin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marina Tsivin enrolled in Medicare?
Yes. Marina Tsivin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marina Tsivin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marina Tsivin reassigns Medicare benefits to Wyckoff Professional Medical Services, PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marina Tsivin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marina Tsivin affiliated with any hospitals?
According to CMS data, Marina Tsivin is affiliated with Wyckoff Heights Medical Center.
When was this NPI record last updated?
The NPPES record for Marina Tsivin was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Marina Shulamit Tsivin, FNP · NPI 1114439130
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since October 31, 2017.
## Identity
- **NPI:** 1114439130 (Entity type: Individual)
- **Enumerated:** October 31, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F342368-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1419 MYRTLE AVE, Brooklyn, NY 11237-4512
- **Phone:** (718) 907-4321 · **Fax:** (347) 425-7681
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wyckoff Professional Medical Services, PC (NPI 1659710796, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114439130) · Data from the CMS NPPES public registry.