BRENDA MARMOL MD
NPI 1235699125
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(646) 888-0200 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brenda Marmol Md NPPES

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

BRENDA MARMOL MD (NPI 1235699125) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235699125
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRENDA MARMOLCredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2019
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1235699125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1275 YORK AVE, New York, NY 10065

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

Brenda Marmol Md 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.

PECOS PAC ID7113461138
PECOS Enrollment IDI20240702000824
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Brenda Marmol reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
100 PORT WASHINGTON BLVD
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
Psychiatric Unit
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 266 clinicians in this Medicare group
Specialist
4295 HEMPSTEAD TPKE
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
Physician Assistant
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
General Acute Care Hospital
50 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 194 clinicians in this Medicare group
General Acute Care Hospital
200 BELLE TERRE RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 210 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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
162 services35 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Brenda Marmol's NPI number?

The NPI number for Brenda Marmol is 1235699125. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Brenda Marmol located?

Brenda Marmol practices at 1275 York Ave, New York, NY 10065. The listed phone number is (646) 888-0200.

What is Brenda Marmol's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brenda Marmol enrolled in Medicare?

Yes. Brenda Marmol 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 organizations bill Medicare for Brenda Marmol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Marmol reassigns Medicare benefits to 6 organizations: St Francis Hospital (Roslyn, NY), Mercy Medical Center (Rockville Centre, NY), St. Joseph Hospital (Bethpage, NY), Good Samaritan Hospital Medical Center (West Islip, NY), St. Catherine Of Siena Medical Center (Smithtown, NY) and 1 more organization, listed in the Medicare section above. Each 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 Brenda Marmol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brenda Marmol affiliated with any hospitals?

According to CMS data, Brenda Marmol is affiliated with Good Samaritan Hospital Medical Center and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Brenda Marmol was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.