Active NPI
Lorraine Marxer, PH.D.
- Psychologist
- Port Washington, NY
National Provider Identifier
1356567812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008071-1
- Practice address
- 20 Central Dr
Port Washington, NY 11050-2720 - Phone
- (516) 944-8017
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008071-1 | NY | Primary |
Addresses
Primary practice location
20 Central Dr
Port Washington, NY 11050-2720
Mailing address
20 Central Dr
Port Washington, NY 11050-2720
Phone (516) 944-8017
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008071 | NY | MD | Optometrist |
| 008071-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356567812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CENTRAL DR",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502720",
"telephone_number": "516-944-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CENTRAL DR",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502720",
"telephone_number": "516-944-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARXER",
"first_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008071-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.