MARINA PARK PLASTICS, PLLC
NPI 1619756350
Clinic/Center - Ambulatory Surgical in Kirkland, WA

Q: What is Marina Park Plastics, PLLC's NPI number?

The NPI number for Marina Park Plastics, PLLC is 1619756350. It was assigned to this organization in the NPPES registry on September 22, 2023. The provider is also known as Marina Park Plastics ASC.

Q: What is Marina Park Plastics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since September 22, 2023CLIA 50D2331284 · Waiver

16 CENTRAL WAY, KIRKLAND, WA 98033(425) 655-1200(425) 655-1987 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Marina Park Plastics, Pllc NPPES

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

MARINA PARK PLASTICS, PLLC (NPI 1619756350) is a healthcare organization registered as an ambulatory surgical in Kirkland, Washington and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Eileen Fay West, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1619756350

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMARINA PARK PLASTICS, PLLC

Location Address16 CENTRAL WAYKirkland, WA 98033-6115

Mailing Address16 Central WayKirkland, WA 98033-6115 · (425) 655-1200 · Fax (425) 655-1987

Phone(425) 655-1200

Fax(425) 655-1987

Organization SubpartNo

Authorized OfficialEileen Fay WestPractice Administrator · (425) 655-1200

Enumeration DateSeptember 22, 2023

NPPES CertifiedSeptember 22, 2023

✔ NPI 1619756350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

16 CENTRAL WAY, Kirkland, WA 98033

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Other Names 1

Other NameMarina Park Plastics Asc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marina Park Plastics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marina Park Plastics, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Zachary Joos, M.D.

Ophthalmology

NPI 1588954119

16 CENTRAL WAY
Kirkland, WA 98033

(425) 655-1200

✔ PECOS✔ Accepts MedicareSame address

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 50D2331284

Marina Park Plastics · Kirkland, WA

Active · expires Apr 4, 2028

CLIA Number50D2331284

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 29, 2025

Certificate Expiration DateApril 4, 2028

Laboratory DirectorZachary Joos

Laboratory Phone(425) 655-1200

Laboratory LocationMarina Park Plastics16 Central Way, Kirkland, WA 98033

CLIA data matches this NPI record on: Address 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 Marina Park Plastics, PLLC's NPI number?

The NPI number for Marina Park Plastics, PLLC is 1619756350. It was assigned to this organization in the NPPES registry on September 22, 2023. The provider is also known as Marina Park Plastics ASC.

Where is Marina Park Plastics, PLLC located?

Marina Park Plastics, PLLC is located at 16 Central Way, Kirkland, WA 98033. The listed phone number is (425) 655-1200.

What is Marina Park Plastics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Marina Park Plastics, PLLC enrolled in Medicare?

Yes. Marina Park Plastics, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marina Park Plastics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Marina Park Plastics, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marina Park Plastics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2331284) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marina Park Plastics, PLLC was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.