Organization Active NPI

Marsh Dermatology, P.C.

  • Dermatology Physician
  • Mamaroneck, NY
National Provider Identifier
1407040496
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
196411-1 Issued in NY
Legal business name
MARSH DERMATOLOGY, P.C.
Practice address
1600 Harrison Ave
Suite 303
Mamaroneck, NY 10543-3145
Phone
(914) 698-2190
Fax
(914) 698-0308
NPI assigned
Sep 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Elizabeth Regina Marsh, M.D.
Title
President
Phone
(203) 344-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 196411-1 NY Primary

Addresses

Primary practice location

1600 Harrison Ave
Suite 303
Mamaroneck, NY 10543-3145

Mailing address

1600 Harrison Ave
Suite 303
Mamaroneck, NY 10543-3145
Phone (914) 698-2190

National Provider Directory

National Provider Directory

Locations

1600 Harrison Ave
Ste 303
Mamaroneck, NY 10543
Phone (914) 698-2190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1407040496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 303",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-698-2190",
            "fax_number": "914-698-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 303",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-698-2190",
            "fax_number": "914-698-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-344-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "196411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.