Marcelo C. Laiz, MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

183891 Issued in NY

Legal business name

MARCELO C. LAIZ, MD, PC

Practice address

140 Lockwood Avenue
Suite 203
New Rochelle, NY 10801-4908

Phone

(914) 636-6330

Fax

(914) 636-1407

NPI assigned

May 21, 2012

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcelo Cruz Laiz, M.D.NPI 1558406967

Title

President

Phone

(914) 636-6330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcelo Cruz Laiz, M.D.

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1558406967
  Authorized official Same address or phone
• Cynthia Pallon Laiz, FNP

  • Family Nurse Practitioner
  • New Rochelle, NY
  • NPI 1467667691
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1407116734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVENUE",
            "address_2": "SUITE 203",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014908",
            "telephone_number": "914-636-6330",
            "fax_number": "914-636-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVENUE",
            "address_2": "SUITE 203",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014908",
            "telephone_number": "914-636-6330",
            "fax_number": "914-636-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO C. LAIZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "LAIZ",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-636-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "183891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE, COMMERCIAL CLAIMS",
            "identifier": "183891",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aviva Mann, EI
• Dana J Manna Paul
• Karina Manzano, OTR/L, CHT
• Melissa Maravilla, PT, DPT
• Edwige Duceus Marcelin, SOLE PROPRIETOR
• Valerie Marchionno, M.S., ED.
• Jacqueline Susan Marconi
• Reinelda Sanchez Marcos, MS ED.
• Milagros Karinee Marenco Sanchez, SA-C
• Maria L Wing MD P.C. (Northridge Medical Associates)

• Primary Care Clinic/Center in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.