NPIMap

Individual provider Active NPI

Evan Marlin, MD

  • Neurological Surgery Physician
  • Fountain Hill, PA
National Provider Identifier
1316251838
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD460026 Issued in PA
Practice address
701 Ostrum St Ste 302
Fountain Hill, PA 18015-1152
Phone
(484) 526-6000
Fax
(484) 526-9410
NPI assigned
Jul 27, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X MD460026 PA Primary

Addresses

Primary practice location

701 Ostrum St Ste 302
Fountain Hill, PA 18015-1152

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

Other practice location 1

410 W 10th Ave
N1014 Doan Hall
Columbus, OH 43210-1240
Phone (614) 293-0821

Other practice location 2

410 W 10th Ave
N1014 Doan Hall
Columbus, OH 43210-1240
Phone (614) 293-0821

Other practice location 3

755 Memorial Pkwy Ste 201
Phillipsburg, NJ 08865-2748
Phone (908) 847-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170829004179 PA Practitioner - Neurosurgery 7911146709 Reassigns benefits to 2 organizations
I20180502002040 NJ Practitioner - Neurosurgery 7911146709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

325 N 5TH St
Allentown, PA 18102-3367

325 N 5TH St 3Rd FL
St Lukes GN Surg Beth
Allentown, PA 18102-3367
Phone (610) 776-4928

701 Ostrum St
Fountain Hill, PA 18015-1152

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD460026PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Multi-Specialty CurrentSince Aug 1, 2017 Accepting new patients
Gslpg, Inc Multi-Specialty CurrentSince Nov 4, 2019 Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty Current Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty CurrentSince Apr 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Multi-Specialty Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2017 Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty CurrentSince Apr 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Multi-Specialty Past Accepting new patients
St Lukes Hospital Past Accepting new patients
Osu Internal Medicine, LLC Multi-Specialty Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 201
Phillipsburg, NJ 08865
Phone (484) 503-0055

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

701 Ostrum St
Ste 302
Fountain Hill, PA 18015
Phone (484) 526-6000

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 10

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 10

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316251838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 302",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-6000",
            "fax_number": "484-526-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_2": "N1014 Doan Hall",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 W 10th Ave",
            "address_2": "N1014 Doan Hall",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Memorial Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652748",
            "country_code": "US",
            "telephone_number": "908-847-6318",
            "fax_number": "908-847-6319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD460026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.