Active NPI
Marcia Pehr, DO
- Emergency Medicine Physician
- Bronx, NY
National Provider Identifier
1265655575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 136405
- Practice address
- 1262 Boston Rd
Suite 2
Bronx, NY 10456-3602 - Phone
- (718) 569-7929
- Fax
- (347) 590-5482
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 136405 | NY | Primary |
Addresses
Primary practice location
1262 Boston Rd
Suite 2
Bronx, NY 10456-3602
Mailing address
1262 Boston Rd
Suite 2
Bronx, NY 10456-3602
Phone (718) 569-7929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01235336 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
521 W 181St St
New York, NY 10033-5102
Phone 7328735133425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136405 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audubon Primary Care Medicine PLLC | Current | Accepting new patients | |
| 181St Street Medical P.C. | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Past | Accepting new patients |
Locations
521 W 181st St
New York, NY 10033
Phone (347) 756-6000
325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- marcia.pehr@cgm.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1922345768
-
- Family Medicine Physician
- New York, NY
- NPI 1851736441
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1902120025
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1265655575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 BOSTON RD",
"address_2": "SUITE 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104563602",
"telephone_number": "718-569-7929",
"fax_number": "347-590-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 BOSTON RD",
"address_2": "SUITE 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104563602",
"telephone_number": "718-569-7929",
"fax_number": "347-590-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEHR",
"first_name": "MARCIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "136405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01235336",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.