Marvin S Watsky PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1086411 Issued in NY

Legal business name

MARVIN S WATSKY PC

Practice address

150 E Sunrise Hwy
Suite L19
Lindenhurst, NY 11757

Phone

(631) 957-3737

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marvin S Watsky, DO

Title

President

Phone

(631) 957-3737

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul E Brody, MD

  • Dermatology Physician
  • Middle Village, NY
  • NPI 1548477029
  NPD (past)
• Brenda Mintz, FNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1306170402
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1477563716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "SUITE L19",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-957-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "SUITE L19",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-957-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN S WATSKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "WATSKY",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-957-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1086411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0089890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00241823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "724743",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS1616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc N. Sperber, DDS & Joseph Portnoy, DDS, LLC
• Daniel Carl Marcello, R.PH.
• Shavon L. Marsh
• Michelle Jean Martin, SPEECH-LANGUAGE PATH
• Kristina Martorano
• Mary Mattheos Physician P.C.
• Dana Marzigliano, LAC
• Carolyn Marzo, OTR/L
• Kristin Anna Mascia
• Karen Marie Maslak, MA, CCC-SLP

• Dermatology Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.