NPIMap

Organization Active NPI

Marc J Federbusch DPM

  • Podiatrist
  • Glendale, NY
National Provider Identifier
1457510299
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003554 Issued in NY
Legal business name
MARC J FEDERBUSCH DPM
Practice address
6534 Myrtle Ave
Glendale, NY 11385-6212
Phone
(718) 366-3338
Fax
(718) 366-2633
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Marc Jeffrey Federbusch, DPMNPI 1376515833
Title
Owner
Phone
(718) 366-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N003554 NY Primary

Addresses

Primary practice location

6534 Myrtle Ave
Glendale, NY 11385-6212

Mailing address

6534 Myrtle Ave
Glendale, NY 11385-6212
Phone (718) 366-3338

National Provider Directory

National Provider Directory

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1457510299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856212",
            "telephone_number": "718-366-3338",
            "fax_number": "718-366-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856212",
            "telephone_number": "718-366-3338",
            "fax_number": "718-366-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J FEDERBUSCH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "FEDERBUSCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-366-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.