Marvin Ebert, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

100787 Issued in NY

Practice address

7 Sands CT
Great Neck, NY 11023-1922

Phone

(516) 829-9267

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Dr.Marvin Ebert

  • Adult Medicine Physician
  • Great Neck, NY
  • NPI 1679979140
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1316498009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231922",
            "telephone_number": "516-829-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231922",
            "telephone_number": "516-829-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "MARVIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "100787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Nicole Dwyer, DPT
• Agnieszka M. Dynda, PSY.D.
• Ewa D Dynda, M.A., CCC/SLP
• E & I Associates, Inc.
• Alison Ebert
• Ebrahim Sadighim MD PC
• Martin Peter Edelstein, MD
• Edward G & Matthew P Kaufman DDS PC
• Edward L. Mills, M.D., P.C.
• Jessica Lauren Effren, PA-C

• Family Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.