Susan Marshall, MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

184015 Issued in NY

Legal business name

SUSAN MARSHALL, MD PC

Practice address

415 Central Park West
1Af
New York, NY 10025

Phone

(212) 222-1722

Fax

(212) 795-6320

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Susan Marshall, MDNPI 1073672515

Title

Owner

Phone

(212) 222-1722

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Susan Beth Marshall, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1073672515
  Medicare reassignment NPD Authorized official
• Ronald Minutoli, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1548482433
  NPD (past)
• Craigh Keith Bryan, MD

  • Hospitalist Physician
  • Lawrenceville, GA
  • NPI 1588769178
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1477791747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15818 RIVERSIDE DRIVE WEST",
            "address_2": "5M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321031",
            "telephone_number": "212-222-1722",
            "fax_number": "212-795-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CENTRAL PARK WEST",
            "address_2": "1AF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-222-1722",
            "fax_number": "212-795-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MARSHALL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-222-1722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "184015",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06631200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Ungar, M.D., P.C.
• Susan L.Grant, M.D.,P.C.
• Susan Lucak MD PC
• Susan M. D'Addario, LCSW
• Susan M. Shimmerlik, PH.D., Psychologist, P.C.
• Susan N Finkelstein, CSW,PC
• Susan W Broner MD PC
• Susan Wallmeyer Acupuncture PC
• Valeria Susanina
• Susannah Jacobi, PH.D., P.C.

• Nephrology Physician in New York, NY
• Providers in New York, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.