Marvin Marcelin, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC006879 Issued in PA

Practice address

5735 Ridge Ave Ste 208
Philadelphia, PA 19128-1747

Phone

(215) 487-4284

NPI assigned

Jul 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Traveling Podiatry Services LLC

  • Podiatrist
  • Huntingdon Valley, PA
  • NPI 1669138467
  Medicare reassignment NPD Authorized official
• St Croix Medical Group, Inc.

  • General Practice Physician
  • Lauderdale Lakes, FL
  • NPI 1346570546
  Medicare reassignment NPD
• Ladonna Dahl,Psy.D., Inc.

  • Clinical Neuropsychologist
  • Boynton Beach, FL
  • NPI 1609114701
  NPD
• Ivy Wellness Care LLC

  • Nurse Practitioner
  • Glenside, PA
  • NPI 1902522899
  NPD (past)

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1053835264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CARTERS MILL RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190532702",
            "telephone_number": "954-319-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281747",
            "telephone_number": "215-487-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "MARVIN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-29",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc J. Medway MD PC
• Jessica Marcacci
• Rebecca Marcantuono, CRNP
• Marcel Orthopedics LLC
• Susan Poserina Marcel, D.O.
• Tristan Gunther Marcelis, MD
• Kirstie R Marcello-Donnelly, MD
• Christine Marcello, CRNP
• Michelle L Marchand
• Melissa Marchany, BA, MCM

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.