Individual provider Active NPI

Adrian M Marcus, D.C.

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1013016641
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
989 Issued in CT
Practice address
132 Federal Rd
Suite 103
Danbury, CT 06811-4047
Phone
(203) 918-8505
Fax
(203) 778-0591
NPI assigned
Sep 21, 2006
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 989 CT Primary
Chiropractor 111N00000X 7031 NY

Addresses

Primary practice location

132 Federal Rd
Suite 103
Danbury, CT 06811-4047

Mailing address

132 Federal Rd
Suite 103
Danbury, CT 06811-4047
Phone (203) 918-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989CTMDChiropractor
7031NYMDChiropractor
007031NYMDFoot & Ankle Surgery Podiatrist
000989CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Physical Therapy and Chiropractic PLLC Chiropractor CurrentSince Jul 17, 2017 Accepting new patients
R.G. Medical, PC PastSince Jul 17, 2017 Accepting new patients

Locations

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1013016641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114047",
            "telephone_number": "203-918-8505",
            "fax_number": "203-778-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114047",
            "telephone_number": "203-918-8505",
            "fax_number": "203-778-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ADRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "989",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "7031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.