Organization Active NPI

David Marshak MD PC

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1043551831
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DAVID MARSHAK MD PC
Practice address
603 W 115TH St
350
New York, NY 10025-7722
Phone
(908) 653-9399
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
David Marshak, MDNPI 1750365318
Title
Owner
Phone
(908) 653-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

603 W 115TH St
350
New York, NY 10025-7722

Mailing address

145 Dreiser Loop
Bronx, NY 10475-2704
Phone (908) 653-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130501000249 NJ Part B Supplier - Clinic/Group Practice 2062659527 Receives reassigned benefits from 1 practitioner
Practice locations: Secaucus, NJ
O20140808001106 NY Part B Supplier - Clinic/Group Practice 2062659527 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Cambria Heights, NY

National Provider Directory

National Provider Directory

Locations

903 Sheridan Ave
Bronx, NY 10451
Phone (347) 605-7946

603 W 115th St
New York, NY 10025
Phone (646) 257-2429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1043551831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "908-653-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W 115TH ST",
            "address_2": "350",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257722",
            "telephone_number": "908-653-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MARSHAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-653-9399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.