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MARCELLUS WHITE
NPI 1790369064
Licensed Practical Nurse in Brooklyn, NY

Active since May 12, 2021
711 SCHENECTADY AVE, BROOKLYN, NY 11203(516) 787-2055 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcellus White NPPES

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

MARCELLUS WHITE (NPI 1790369064) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (331555) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1790369064
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMARCELLUS WHITE
Location Address711 SCHENECTADY AVEBrooklyn, NY 11203-2220
Mailing Address711 Schenectady AveBrooklyn, NY 11203-2220
Phone(516) 787-2055
Sole ProprietorNo
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1790369064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 331555
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
711 SCHENECTADY AVE, Brooklyn, NY 11203
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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 Marcellus White's NPI number?

The NPI number for Marcellus White is 1790369064. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Marcellus White located?

Marcellus White practices at 711 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (516) 787-2055.

What is Marcellus White's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marcellus White was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.