NPIMap

Individual provider Active NPI

Robert P Marcincin, M.D.

  • Neurological Surgery Physician
  • Bethlehem, PA
National Provider Identifier
1629072996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD022104E Issued in PA
Practice address
35 E Elizabeth Ave
Ste 38
Bethlehem, PA 18018-6505
Phone
(610) 866-2552
Fax
(610) 882-9932
NPI assigned
Jun 2, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD022104E PA Primary

Addresses

Primary practice location

35 E Elizabeth Ave
Ste 38
Bethlehem, PA 18018-6505

Mailing address

35 E Elizabeth Ave
Ste 38
Bethlehem, PA 18018-6505
Phone (610) 866-2552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000163 PA Practitioner - Neurosurgery 4082807417 Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Geisel School of Medicine at Dartmouth, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 E Elizabeth Ave
Suite 38
Bethlehem, PA 18018-6505
Phone (610) 866-2552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022104EPAMDNeurological Surgery Physician

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629072996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE",
            "address_2": "STE 38",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-866-2552",
            "fax_number": "610-882-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE",
            "address_2": "STE 38",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-866-2552",
            "fax_number": "610-882-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINCIN",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD022104E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.