Organization 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
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
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

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Marc Bowen, M.D.NPI 1205815032
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01537282MedicaidNY

Other names 1

  • MXBowen, Physician P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130725000317 NY Part B Supplier - Clinic/Group Practice 4486895943 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

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": "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.

Verify at the official NPI Registry.