Individual provider Active NPI

Marcus Chenchi Lien, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Yorktown Heights, NY
National Provider Identifier
1063439941
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
306373 Issued in NY
Practice address
2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938
Phone
(914) 739-0087
Fax
(914) 737-1714
NPI assigned
Jul 16, 2006
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 306373 NY Primary

Addresses

Primary practice location

2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938

Mailing address

2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938
Phone (914) 739-0087

Other identifiers 4

IdentifierTypeStateIssuer
8483844MedicaidWA
MD00047409OtherWAWA STATE LICENSE
P00466599OtherWARAILROAD MEDICARE
0220888OtherWALABOR & INDUSTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518000807 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9638175714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Critical Care Medicine CurrentSince Sep 1, 2007 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2007 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Sep 15, 2020 Accepting new patients
Lawrence Medical Associates, PC Current Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients
Pulmonary and Critical Care Associates Past Accepting new patients

Locations

55 Palmer Ave
Fl 5
Bronxville, NY 10708
Phone (914) 787-2299

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

12728 19th Ave SE
Ste 200
Everett, WA 98208
Phone (425) 252-1116

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

Organizations & group practices 7

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1063439941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "MARCUS",
        "middle_name": "CHENCHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "306373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8483844",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "MD00047409",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00466599",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0220888",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.