Active NPI
Daniel R Marcus, DPM
- Podiatrist
- Salem, MA
National Provider Identifier
1225142185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1463
- Practice address
- 254 Essex St
Salem, MA 01970 - Phone
- (978) 744-3218
- Fax
- (978) 745-1325
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1463 | MA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1463 | MA |
Addresses
Primary practice location
254 Essex St
Salem, MA 01970
Mailing address
81 Highland Ave
North Shore Health Systems
Salem, MA 01970
Phone (978) 354-4173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0331007 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1463 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1225142185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"address_2": "NORTH SHORE HEALTH SYSTEMS",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 ESSEX ST",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-744-3218",
"fax_number": "978-745-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "DANIEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1463",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1463",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0331007",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.