Active NPI
Marc Jay Warman, M.D.
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
National Provider Identifier
1386626133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 033770
- Practice address
- 409 Mountain Laurel Rd
Fairfield, CT 06824-2424 - Phone
- (203) 216-0178
- NPI assigned
- Nov 17, 2005
- Last updated
- Jan 6, 2016
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 033770 | CT | Primary |
Addresses
Primary practice location
409 Mountain Laurel Rd
Fairfield, CT 06824-2424
Mailing address
409 Mountain Laurel Rd
Fairfield, CT 06824-2424
Phone (203) 216-0178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20230928002543 | CT | Order and Referring Only - Physical Medicine and Rehabilitation | 4486640448 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Yale University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates Inc
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033770 | CT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Iom Services Inc | Past | Accepting new patients | |
| Rehabilitation Associates Inc. | Past | Accepting new patients | |
| Surgical Monitoring Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Shelton, CT
- NPI 1114184157
-
- Neurology Physician
- Lake Worth, FL
- NPI 1104980648
-
- Neurology Physician
- Brentwood, TN
- NPI 1811074859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1386626133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 MOUNTAIN LAUREL RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068242424",
"telephone_number": "203-216-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 MOUNTAIN LAUREL RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068242424",
"telephone_number": "203-216-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARMAN",
"first_name": "MARC",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CT",
"license": "033770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.