MARIAN DAVID, MD, PC
NPI 1194721043
Specialist in Kew Gardens, NY

Active since June 24, 2005CLIA 33D1039649 · Waiver
12510 QUEENS BLVD, SUITE 2701, KEW GARDENS, NY 11415(718) 261-0444(718) 261-0940 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marian David, Md, Pc NPPES

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

MARIAN DAVID, MD, PC (NPI 1194721043) is a healthcare organization registered as a specialist in Kew Gardens, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Marian David, Owner, as its authorized official.

NPPES Registry Identity

NPI1194721043
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARIAN DAVID, MD, PC
Location Address12510 QUEENS BLVD, SUITE 2701Kew Gardens, NY 11415-1519
Mailing Address12510 Queens Blvd, Suite 2701Kew Gardens, NY 11415-1519 · (718) 261-0444 · Fax (718) 261-0940
Fax(718) 261-0940
Organization SubpartNo
Authorized OfficialMarian DavidOwner · (718) 261-0444
Enumeration DateJune 24, 2005
Last NPPES UpdateJune 18, 2009
✔ NPI 1194721043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 211683
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12510 QUEENS BLVD, Kew Gardens, NY 11415

Other Identifiers 4

Medicare PINWFL231NY
Medicaid01877994NY
Medicare ID-Type Unspecified06055NY
Medicare UPING17205NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marian David, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Marian David, MD, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Cardiovascular Disease (Cardiology)
NPI 1447419726
12510 QUEENS BLVD
Kew Gardens, NY 11415
(718) 261-0444
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1619073046
12510 QUEENS BLVD SUITE 2701
Kew Gardens, NY 11415
(718) 261-0444
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1184858789
12510 QUEENS BLVD STE 2701
Kew Gardens, NY 11415
(718) 261-0444
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1306016969
12510 QUEENS BLVD STE 2701
Kew Gardens, NY 11415
(718) 261-0444
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1033141346
170 WILLIAM ST SUITE 818
New York, NY 10038
(212) 233-0007
✔ PECOS✔ Accepts Medicare9.4 mi
Cardiovascular Disease (Cardiology)
NPI 1760457113
5091 AMBOY ROAD
Staten Island, NY 10312
(718) 984-2100
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1039649

Marian David, MD PC · Kew Gardens, NY
Active · expires Apr 18, 2027
CLIA Number33D1039649
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorMarian David MD
Laboratory Phone(718) 261-0444
Laboratory LocationMarian David, MD PC125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Marian David, MD, PC's NPI number?

The NPI number for Marian David, MD, PC is 1194721043. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Marian David, MD, PC located?

Marian David, MD, PC is located at 12510 Queens Blvd Suite 2701, Kew Gardens, NY 11415. The listed phone number is (718) 261-0444.

What is Marian David, MD, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marian David, MD, PC enrolled in Medicare?

Yes. Marian David, MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marian David, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Marian David, MD, PC. A 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 the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marian David, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1039649) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marian David, MD, PC was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.