Individual provider Active NPI

Marc Anthony Notari, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lyndhurst, NJ
National Provider Identifier
1013916667
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD1293 Issued in NJ
Practice address
160 Ridge Rd
Lyndhurst, NJ 07071-1253
Phone
(201) 939-9098
Fax
(201) 939-5614
NPI assigned
Jul 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD1293 NJ Primary

Addresses

Primary practice location

160 Ridge Rd
Lyndhurst, NJ 07071-1253

Mailing address

160 Ridge Rd
Lyndhurst, NJ 07071-1253
Phone (201) 939-9098

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
MD1293NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1013916667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTARI",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.