Marmur Dermatology and Cardiology, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

219305 Issued in NY

Legal business name

MARMUR DERMATOLOGY AND CARDIOLOGY, PLLC

Practice address

12 E 87TH St Suite 1a
New York, NY 10128-0501

Phone

(212) 996-6900

Fax

(646) 376-5140

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ellen S Marmur, M.D.NPI 1134114655

Title

President

Phone

(212) 996-6900

Specialties & licenses 1

Addresses

Other names 1

• MARMUR MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Ellen S Marmur, M.D.

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1134114655
  Medicare reassignment NPD Authorized official
• Jaimie Brooke Glick, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1114288214
  Medicare reassignment NPD
• Liza Braun Levin, MD

  • Dermatology Physician
  • West Nyack, NY
  • NPI 1295153138
  Medicare reassignment NPD
• Teresa Song, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1679136790

  Single Specialty

  Medicare reassignment NPD
• Rachel Elizabeth Westbay, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1598127730
  Medicare reassignment NPD
• Alexandra Sweeney, NP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1407462492
  NPD
• Jennifer Weiss, P.A.

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1639554397
  NPD
• Jaclyn Vinagre, APN

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1558993386
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1598043432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 87TH ST SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280501",
            "telephone_number": "212-996-6900",
            "fax_number": "646-376-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 87TH ST SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280501",
            "telephone_number": "212-996-6900",
            "fax_number": "646-376-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARMUR DERMATOLOGY AND CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MARMUR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-996-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "219305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARMUR MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Marmolejos, MST
• Luisaily Marmolejos, MSW
• Lindsay Marmor, MD
• Rachel Marmor
• Marmur Cardiology PLLC
• Ellen S Marmur, M.D.
• Jessica Loo Marn, DDS
• Richard Y Marn, M.D.
• Alexander Marneros
• Katherine Marnucci, N.Y.S. LICENSES PSYC

• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.