Organization Active NPI

Myra Marcus PA

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1497939870
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3305 Issued in FL
Legal business name
MYRA MARCUS PA
Practice address
3208 Windsor Park CT
Englewood, NJ 07631-4982
Phone
(201) 218-4788
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Myra Marcus, PHDNPI 1659352615
Title
President
Phone
(201) 218-4788

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW3305 FL Primary

Addresses

Primary practice location

3208 Windsor Park CT
Englewood, NJ 07631-4982

Mailing address

3208 Windsor Park CT
Englewood, NJ 07631-4982
Phone (201) 218-4788

Other identifiers 1

IdentifierTypeStateIssuer
1659352615OtherFLNPI INDIVIDUAL

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1497939870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 WINDSOR PARK CT",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314982",
            "telephone_number": "201-218-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WINDSOR PARK CT",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314982",
            "telephone_number": "201-218-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRA MARCUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-218-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1659352615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.