Active NPI
Lindasusan Marcus, MD
- Dermatology Physician
- Wyckoff, NJ
National Provider Identifier
1598875619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA467830
- Practice address
- 271 Godwin Ave
Wyckoff, NJ 07481 - Phone
- (201) 891-4373
- Fax
- (201) 891-0482
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA467830 | NJ | Primary |
Addresses
Primary practice location
271 Godwin Ave
Wyckoff, NJ 07481
Mailing address
271 Godwin Ave
Wyckoff, NJ 07481
Phone (201) 891-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050316000751 | NJ | Practitioner - Dermatology | 0547215139 | Practice locations: Wyckoff, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- State University of New York Downstate Medical Center, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
271 Godwin Ave
Wyckoff, NJ 07481-2057
Phone (201) 891-4373
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 36 |
| Removal of skin lesions | 388 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 72 |
| Skin biopsy | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA467830 | NJ | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344643200000",
"number": "1598875619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 GODWIN AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "07481",
"telephone_number": "201-891-4373",
"fax_number": "201-891-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 GODWIN AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "07481",
"telephone_number": "201-891-4373",
"fax_number": "201-891-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "LINDASUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "MA467830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.