OrganizationActive
Marvin Base MD PC
NPI 1114204682 · Internal Medicine Physician · Bayside, NY
Marvin Base MD PC is a Internal Medicine Physician organization in Bayside, NY (NPI 1114204682).
Provider details
- NPI number
- 1114204682
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marvin Base, Physician/Principal(718) 281-4461
- License
- NY187770 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210-08 Northern Blvd
Bayside, NY 11361
Phone: (718) 281-4461
Fax: (718) 281-0566
Street-level locationGet directions
Mailing address
210-08 Northern Blvd
Bayside, NY 11361
Registry dates
- Enumerated
- 2011-11-10
- Last updated
- 2011-11-10
Frequently asked questions
- What is Marvin Base MD PC's NPI number?
- Marvin Base MD PC's National Provider Identifier (NPI) is 1114204682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marvin Base MD PC?
- Marvin Base MD PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marvin Base MD PC located?
- Marvin Base MD PC's practice location on file with NPPES is 210-08 Northern Blvd, Bayside, NY 11361.
- What is Marvin Base MD PC's phone number?
- The practice phone number listed in the NPPES registry for Marvin Base MD PC is (718) 281-4461.
- Who is the authorized official for Marvin Base MD PC?
- The authorized official listed on Marvin Base MD PC's NPPES record is Marvin Base, Physician/Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marvin Base MD PC's NPI active?
- Yes — Marvin Base MD PC's NPI (1114204682) is active in the NPPES registry as of the last update on 2011-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.