Lee S Marcus, MD FACC
Individual provider Active NPI Cardiovascular Disease Physician · Baldwin Place, NY
NPI 1205809100 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1205809100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 188488 (NY)
- Practice address
- 4 Travis Rd
Baldwin Place, NY 10505-2005 - Phone
- (914) 475-1055
- Fax
- (646) 661-2347
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125000849 | NY | Practitioner - Cardiovascular Disease (Cardiology) |
1456343839 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Medical Cardiac Imaging PLLC | Cardiovascular Disease | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 188488 | NY | Yes |
Addresses
Primary practice location
4 Travis Rd
Baldwin Place, NY 10505-2005
Mailing address
4 Travis Rd
Baldwin Place, NY 10505-2005
Phone (144) 751-0559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01944485 | Medicaid | NY |
Other providers in Baldwin Place, NY
- Alexis Hannah Goldstein
- Diana Mary Innocent
- Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
- Meagan Kobielski
- Carissa Varbaro Majdanski
- Gerta Memeti
- Courtney Miele-Moran
- Shelley Mondelli
- Fariba E Nabi Rahni
- Susan Ann Nolan
All providers in Baldwin Place, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.