Active NPI
Marco E Vezza, M.D.
- Internal Medicine Physician
- Roslyn Heights, NY
National Provider Identifier
1336291129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196403
- Practice address
- 4 Mineola Ave
Roslyn Heights, NY 11577-1032 - Phone
- (516) 621-9463
- Fax
- (516) 621-9469
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196403 | NY | Primary |
Addresses
Primary practice location
4 Mineola Ave
Roslyn Heights, NY 11577-1032
Mailing address
4 Mineola Ave
Roslyn Heights, NY 11577-1032
Phone (516) 277-2340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76936 | Other | NY | VYTRA |
| 01553497 | Medicaid | NY | |
| 2C8097 | Other | NY | HEALTHNET |
| 5504277 | Other | NY | GHI |
| P831218 | Other | NY | OXFORD |
| 110174446 | Other | NY | RAILROAD MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070719000424 | NY | Practitioner - Internal Medicine | 2365543485 | Practice locations: Roslyn Heights, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4 Mineola Ave
Roslyn Heights, NY 11577-1091
Phone (516) 277-2340
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunharbor Acquisition I , LLC | Past | Accepting new patients | |
| St. Francis Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
-
dba Sunharbor Manor LLC
- Skilled Nursing Facility
- Roslyn Heights, NY
- NPI 1346249216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
-
dba Sunharbor Manor LLC
- Skilled Nursing Facility
- Roslyn Heights, NY
- NPI 1346249216
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1336291129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771032",
"telephone_number": "516-277-2340",
"fax_number": "516-277-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771032",
"telephone_number": "516-621-9463",
"fax_number": "516-621-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEZZA",
"first_name": "MARCO",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "196403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "76936",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01553497",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C8097",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5504277",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P831218",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110174446",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.