Active NPI
Marcus Mario McGill, NP
- Psychiatry Physician
- New York, NY
National Provider Identifier
1467947150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- F402406-1
- Practice address
- 1781 Riverside Dr
New York, NY 10034-5341 - Phone
- (646) 561-9673
- Fax
- (646) 661-4499
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F402406-1 | NY | Primary |
Addresses
Primary practice location
1781 Riverside Dr
New York, NY 10034-5341
Mailing address
954 Lexington Ave # 2095
New York, NY 10021-5055
Phone (646) 561-9673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F402406-1 | Other | NY | STATE OF NEW YORK EDUCATION DEPARTMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402406-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1467947150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 LEXINGTON AVE # 2095",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215055",
"telephone_number": "646-561-9673",
"fax_number": "646-661-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100345341",
"telephone_number": "646-561-9673",
"fax_number": "646-661-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "MARCUS",
"middle_name": "MARIO",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "F402406-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW YORK EDUCATION DEPARTMENT",
"identifier": "F402406-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.