Dr.Marvin Ebert

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

100787 Issued in NY

Legal business name

DR.MARVIN EBERT

Practice address

7 Sands CT
Great Neck, NY 11023-1922

Phone

(516) 829-9267

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Louis Ebert, D.O.NPI 1316498009

Title

Physician

Phone

(516) 829-9267

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Marvin Ebert, DO

  • Family Medicine Physician
  • Great Neck, NY
  • NPI 1316498009
  NPD (past) Authorized official

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1679979140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231922",
            "telephone_number": "516-829-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231922",
            "telephone_number": "516-829-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MARVIN EBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-829-9267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "100787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "AEO701068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleni A Doulos, PT, DPT
• Erin Dowd
• Dr Rachel Kleinman PSYD PLLC
• Dr. Edward Wolff
• Dr. Howard a. Israel Oral & Maxillofacial Surgery, PLLC
• Alan Dreiblatt, MSW
• Sonja Dreiblatt, MSW
• Robert Drell, DC
• Robert J Dresdale, MD
• Kenneth Laurence Drexler, RPH

• Adult Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.