Individual provider Active NPI

Marion Y Bobb-McKoy, MD

  • Family Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1184709206
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA064861 Issued in NJ
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000243 NJ Practitioner - Family Practice 8628167301 Reassigns benefits to 2 organizations

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
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064861NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Mar 27, 2023 Accepting new patients
North Jersey Internal Medicine PC CurrentSince Feb 9, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.