Maury A Marmor, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

146453 Issued in NY

Practice address

60 N Country Rd
Suite 301
Port Jefferson, NY 11777-2188

Phone

(631) 474-4200

Fax

(631) 474-4202

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

72.13

Promoting interoperability

91

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: mmarmor17788@direct.optum.com

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.

• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Stony Brook Ophthalmology, University Faculty Practice Corporation

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1700831195

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1417064569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 301",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-474-4200",
            "fax_number": "631-474-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 301",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-474-4200",
            "fax_number": "631-474-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOR",
        "first_name": "MAURY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "146453",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "146453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Malcomson, PT, DPT
• Lana Malekan, MD, MS
• Sophia C Manolis, DDS
• Ronni Marangoni
• Markella Christakis MD PC
• William Marrin, PHD
• Jennifer Dale Marshak, MD
• Crewson Andrew Martin, M.S.W., L-C.S.W.
• Dawn Ann Martin
• Janice M Martin, LCSW

• Pediatric Ophthalmology and Strabismus Specialist Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.

Verify at the official NPI Registry.