Active NPI
Robert Marder, MS, PT
- Physical Therapist
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021477-1
- Practice address
- 258 E Meadow Ave
Ste 3
East Meadow, NY 11554-2456 - Phone
- (516) 375-4320
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021477-1 | NY | Primary |
Addresses
Primary practice location
258 E Meadow Ave
Ste 3
East Meadow, NY 11554-2456
Mailing address
12 Woodstork Dr
Mount Sinai, NY 11766-3400
Phone (516) 375-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021477-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B Marder Physical Therapy PC | Current | Accepting new patients | |
| Optimum Therapeutics PT & OT PLLC | Physical Therapist | Current | Accepting new patients |
| Propel Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
258 E Meadow Ave
Ste 3
East Meadow, NY 11554
Phone (516) 222-2010
1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010
560 Broadhollow Rd
Ste 304
Melville, NY 11747
Phone (516) 222-2010
8 Roosevelt Ave
Port Jefferson Station, NY 11776
Phone (631) 736-7707
Organizations & group practices 5
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.
-
- Physical Therapist
- Melville, NY
- NPI 1972882322
-
- Physical Therapist
- Melville, NY
- NPI 1154355444
-
- Physical Therapist
- East Meadow, NY
- NPI 1376885640
-
- Specialist
- Mount Sinai, NY
- NPI 1952704090
-
- Physical Therapist
- Greenvale, NY
- NPI 1619519972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1073508719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WOODSTORK DR",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117663400",
"telephone_number": "516-375-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 E MEADOW AVE",
"address_2": "STE 3",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542456",
"telephone_number": "516-375-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021477-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.