Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marvin J Base, MD

Individual provider Internal Medicine Physician · NPI 1366401853

Dr. Marvin J Base, MD is an Internal Medicine Physician in Rego Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone: (718) 806-1434
Fax: (718) 806-1435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 187770 (NY)

Record details

NPI number1366401853
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address9308 Queens Blvd # 1b1c, Rego Park, NY 11374-1135

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