Individual provider Active NPI

Marilyn Lisa Temkin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hauppauge, NY
National Provider Identifier
1427362557
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
144976 Issued in NY
Practice address
225 Rabro Drive East
Hauppauge, NY 11788-4290
Phone
(631) 790-6996
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 144976 NY Primary

Addresses

Primary practice location

225 Rabro Drive East
Hauppauge, NY 11788-4290

Mailing address

PO Box 2037
Setauket, NY 11733-0704
Phone (631) 689-1518

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120404000322 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476713199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince Nov 7, 2015 Accepting new patients
Harbor View Medical Services PC CurrentSince Nov 7, 2015 Accepting new patients
Harbor View Medical Services PC Current Accepting new patients

Locations

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

125 Oakland Ave
Ste 204
Port Jefferson, NY 11777
Phone (631) 686-1414

70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1427362557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2037",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117330704",
            "telephone_number": "631-689-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RABRO DRIVE EAST",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884290",
            "telephone_number": "631-790-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMKIN",
        "first_name": "MARILYN",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "144976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.