Active NPI
Marc Xavier Bowen, Physician P.C.
Doing business as MXBowen, Physician P.C.
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1467895516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- MARC XAVIER BOWEN, PHYSICIAN P.C.
- Doing business as
- MXBowen, Physician P.C.
- Practice address
- 209 W 19TH St
New York, NY 10011-4001 - Phone
- (212) 480-4062
- Fax
- (646) 582-1434
- NPI assigned
- Apr 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Bowen, M.D.
- Title
- President/Ceo
- Phone
- (212) 480-7010
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | 197205 | NY | |
| Primary Care Clinic/Center | 261QP2300X | 197205 | NY | |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 197205 | NY |
Addresses
Primary practice location
209 W 19TH St
New York, NY 10011-4001
Mailing address
209 W 19TH St
New York, NY 10011-4001
Phone (212) 480-4062
Other practice location 1
225 E 57th St
New York, NY 10022-2822
Phone (212) 480-4062
Other practice location 2
225 E 57th St
New York, NY 10022-2822
Phone (212) 480-4062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01537282 | Medicaid | NY |
Other names 1
- MXBowen, Physician P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1205815032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1467895516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 W 19TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114001",
"telephone_number": "212-480-4062",
"fax_number": "646-582-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W 19TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114001",
"telephone_number": "212-480-4062",
"fax_number": "646-582-1434"
}
],
"practiceLocations": [
{
"address_1": "225 E 57th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100222822",
"country_code": "US",
"telephone_number": "212-480-4062",
"fax_number": "646-582-1434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 E 57th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100222822",
"country_code": "US",
"telephone_number": "212-480-4062",
"fax_number": "646-582-1434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARC XAVIER BOWEN, PHYSICIAN P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-08",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "212-480-7010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "197205",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "197205",
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NY",
"license": "197205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01537282",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MXBowen, Physician P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.