Individual provider Active NPI

Ronen Marmur, MD

  • Rheumatology Physician
  • Brewster, NY
National Provider Identifier
1609821818
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
215729 Issued in NY
Practice address
185 Route 312
Brewster, NY 10509-2337
Phone
(845) 278-7000
Fax
(845) 278-2208
NPI assigned
May 24, 2006
Last updated
Oct 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215729 NY
Rheumatology Physician 207RR0500X 215729 NY Primary

Addresses

Primary practice location

185 Route 312
Brewster, NY 10509-2337

Mailing address

110 S Bedford Rd
Caremount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other identifiers 1

IdentifierTypeStateIssuer
02191624MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040601001575 NY Practitioner - RheumatologyPractitioner - Internal Medicine 1557343852 Reassigns benefits to 1 organization
I20240806001710 ME Practitioner - RheumatologyPractitioner - Internal Medicine 1557343852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

77 Bates St
Suite 201
Lewiston, ME 04240-7637
Phone (207) 795-5784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215729NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Aug 29, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 1995 Accepting new patients
Central Maine Clinical Associates Corporation CurrentSince Sep 9, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Aug 29, 2024 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Central Maine Clinical Associates CurrentSince Sep 9, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 1995 Accepting new patients
Prem C Chatpar MD LLC Rheumatology PastSince Sep 4, 2025 Accepting new patients

Locations

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

685 Sabattus St
Lewiston, ME 04240
Phone (207) 295-0111

77 Bates St
Ste 101
Lewiston, ME 04240
Phone (207) 795-2929

77 Bates St
Ste 201
Lewiston, ME 04240
Phone (207) 784-5784

185 Route 312
Brewster, NY 10509
Phone (845) 278-4300

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1609821818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "CAREMOUNT MEDICAL PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROUTE 312",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092337",
            "telephone_number": "845-278-7000",
            "fax_number": "845-278-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMUR",
        "first_name": "RONEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215729",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "215729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02191624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.