Individual provider Active NPI

Marcus L Williams, M.D.

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1467526525
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06503600 Issued in NJ
Practice address
10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone
(551) 246-3008
Fax
(201) 703-1100
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA06503600 NJ
Cardiovascular Disease Physician 207RC0000X 25MA06503600 NJ Primary

Addresses

Primary practice location

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728

Mailing address

261 Midvale St
Ridgewood, NJ 07450-4922
Phone (201) 967-8425

Other identifiers 1

IdentifierTypeStateIssuer
0541281MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050616001094 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769426014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Suite 202
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

265 Ackerman Ave
FL 1
Ridgewood, NJ 07450-4200
Phone (551) 246-3008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06503600NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Imaging Inc CurrentSince Jan 15, 2021 Accepting new patients
Ridgewood Cardiology Associates Cardiovascular Disease CurrentSince Apr 21, 2012 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Nov 14, 2022 Accepting new patients
Horizon Cardiology LLC Cardiovascular Disease CurrentSince Dec 1, 2016 Accepting new patients

Locations

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

10-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 794-3256

22-18 Broadway
Ste 202
Fair Lawn, NJ 07410
Phone (201) 796-5400

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

700 Godwin Ave
Ste 100
Midland Park, NJ 07432

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

265 Ackerman Ave
Fl 1
Ridgewood, NJ 07450
Phone (551) 246-3008

265 Ackerman Ave
Ste 1
Ridgewood, NJ 07450

645 Westwood Ave
River Vale, NJ 07675
Phone (201) 666-9100

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1467526525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MIDVALE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504922",
            "telephone_number": "201-967-8425",
            "fax_number": "201-263-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "551-246-3008",
            "fax_number": "201-703-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARCUS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06503600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06503600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.