Active NPI
Marion Y Bobb-McKoy, MD
- Family Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA064861
- Practice address
- 92 Summit Ave
Hackensack, NJ 07601-1263 - Phone
- (201) 342-0066
- Fax
- (201) 342-0079
- NPI assigned
- Oct 26, 2006
- Last updated
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA064861 | NJ | Primary |
Addresses
Primary practice location
92 Summit Ave
Hackensack, NJ 07601-1263
Mailing address
92 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 342-0066
Other practice location 1
610 Valley Health Plz
Paramus, NJ 07652-3607
Phone (201) 342-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555
83 Summit Ave
Hackensack, NJ 07601-1374
Phone (551) 309-3555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA064861 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allhealthmedicalgroup Com PC | Current | Accepting new patients | |
| North Jersey Internal Medicine PC | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412
92 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-0066
357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633
83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010
255 W Spring Valley Ave
Maywood, NJ 07607
Phone (201) 546-8746
255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888
865 Teaneck Rd
Ste 1
Teaneck, NJ 07666
223 Old Hook Rd
Ste 2
Westwood, NJ 07675
Phone (201) 297-9167
Interoperability endpoints
- https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
- marion.bobb-mckoy.1@23990.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1497408991
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1114027885
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1184709206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011263",
"telephone_number": "201-342-0066",
"fax_number": "201-342-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011263",
"telephone_number": "201-342-0066",
"fax_number": "201-342-0079"
}
],
"practiceLocations": [
{
"address_1": "610 Valley Health Plz",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076523607",
"country_code": "US",
"telephone_number": "201-342-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBB-MCKOY",
"first_name": "MARION",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA064861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- BLMT (Engled Managed Care)
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- Blooming Smile Dental Association LLC
- Bluebird Medical Supply LLC
- Cynthia Serwaah Boakye-Danquah, RPH
- Doreen J Bobby, M.S.W., L.C.S.W.
- Conrad A Bocksel, D.D.S.
- Abigail Victoria Bodeker, DMD
- Kenneth Alan Bodkin, AU.D.
- Body Shop Physical Therapy and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.