Individual provider Active NPI

Marney Ellen Gruber, M.D.

  • Internal Medicine Physician
  • Harrison, NY
National Provider Identifier
1083857601
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME169314 Issued in FL
Practice address
237 Union Ave
Harrison, NY 10528-1711
Phone
(914) 714-9821
Fax
(914) 835-8021
NPI assigned
Apr 13, 2009
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X MD.205472 LA
Internal Medicine Physician 207R00000X ME169314 FL Primary

Addresses

Primary practice location

237 Union Ave
Harrison, NY 10528-1711

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY, MA, IL, TN, FL, NC, MI, OH9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20120807000938 LA Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 2 organizations
I20150720000450 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 9830345867 Reassigns benefits to 8 organizations
I20240530000248 MA Practitioner - Internal Medicine 9830345867 Reassigns benefits to 1 organization
I20240603000646 IL Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 1 organization
I20240628003263 TN Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 4 organizations
I20240828005092 FL Practitioner - Internal Medicine 9830345867 Reassigns benefits to 1 organization
I20241104002237 NC Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 1 organization
I20250205000368 MI Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 1 organization
I20250211003447 OH Practitioner - Emergency Medicine 9830345867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140

400 Pantigo PL
East Hampton, NY 11937-5902
Phone (631) 638-3433

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205472LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, LLC CurrentSince Jan 1, 2025 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Nov 20, 2018 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jan 20, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Jul 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Cityblock Ipa Ny, LLC Internal Medicine CurrentSince Dec 14, 2025 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 20, 2018 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2019 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jan 20, 2016 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Fpa Hospital Based CurrentSince Oct 1, 2018 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Oct 21, 2018 Accepting new patients
Meeting House Lane Medical Practice PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Oluwatoyin Ajayi Medical Practice, PC CurrentSince May 1, 2024 Accepting new patients

Locations (25 of 30)

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

1514 Jefferson Hwy
New Orleans, LA 70121

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

4444 The Plaza
Unit 18
Charlotte, NC 28215

1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

400 Pantigo Pl
East Hampton, NY 11937
Phone (631) 638-3433

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

500 E Main St
Ste 105
Columbus, OH 43215
Phone (614) 695-5060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: marney.gruber.p1@direct.shproviders.nextgenshare.com
  • Direct secure messaging: mgruber65162@northwell.direct-ci.com
  • Direct secure messaging: mgruber67540@mlh.direct-ci.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1083857601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 UNION AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281711",
            "telephone_number": "914-714-9821",
            "fax_number": "914-835-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MARNEY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.205472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME169314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.