Marc Robert Avram, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

192349 Issued in NY

Practice address

115 Remsen St
Brooklyn, NY 11201-4212

Phone

(718) 852-4646

Fax

(718) 624-5972

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

State University of New York Downstate Medical Center, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Heights Dermatology and Laser Group PCGroup PAC ID 7719058023, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: maa2030@direct.nyp.org

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

• Heights Dermatology and Laser Group PC

  • Specialist
  • Brooklyn, NY
  • NPI 1013058890
  Medicare reassignment Care Compare group NPD Authorized official
• Brooklyn Nephrology Group, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1881609352
  NPD
• Heights Nephrology Medical Group, PC

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1770500100
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1629063748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4646",
            "fax_number": "718-624-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4646",
            "fax_number": "718-624-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRAM",
        "first_name": "MARC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "192349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avon Pharmacy & Surgical Inc
• Isaia Avraham, M.D.
• Ovadyah Avraham, PHARMD
• Galina Avrakh, RN
• David Keith Avram, MD
• Natacha Avril- Pierrot, MS ED
• Cresta Avril
• Vana Avril
• Irina Avruchevskaya, M.D.
• Michael Avrut, LCSW

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.

Verify at the official NPI Registry.