Individual provider Active NPI

Marc Antony Nolan, M.D

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1144295312
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
213416 Issued in NY
Practice address
420 E 55TH St Apt 1F
New York, NY 10022-5140
Phone
(212) 400-9951
Fax
(212) 737-7310
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 213416 NY
Cardiovascular Disease Physician 207RC0000X 213416 NY Primary

Addresses

Primary practice location

420 E 55TH St Apt 1F
New York, NY 10022-5140

Mailing address

301 E 79TH St Apt 12J
New York, NY 10075-0938
Phone (212) 400-9951

Other identifiers 1

IdentifierTypeStateIssuer
01-0597943OtherNYTAX ID

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
I20110224000127 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921172263 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 E 78TH St
New York, NY 10075-1243
Phone (212) 400-9951

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Cardiovascular Care PLLC Cardiovascular Disease CurrentSince Apr 14, 2023 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Jun 25, 2012 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 25, 2012 Accepting new patients

Locations

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

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

205 E 78th St
New York, NY 10075
Phone (212) 400-9951

420 E 55th St
Apt 1F
New York, NY 10022
Phone (212) 400-9951

90 E End Ave
New York, NY 10028
Phone (212) 636-8591

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: mnolan316167@northwell.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1144295312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST APT 12J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750938",
            "telephone_number": "212-400-9951",
            "fax_number": "212-737-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 55TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225140",
            "telephone_number": "212-400-9951",
            "fax_number": "212-737-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MARC",
        "middle_name": "ANTONY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "213416",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "213416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "01-0597943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.