Andrew Marcos, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

018250 Issued in NY

Practice address

2360 Grand Ave
Baldwin, NY 11510-3111

Phone

(516) 546-2266

NPI assigned

Nov 19, 2014

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Glendale Family Medicine,PC

  • Family Medicine Physician
  • Glendale, NY
  • NPI 1346444734
  Medicare reassignment

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1689071672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103111",
            "telephone_number": "516-546-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "ANDREW",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela D Mahler-Romeo, LMSW CSW
• Tyquanna Mangum-Lutchmansingh
• Jasmine Manning
• Farhana Mansoob, M.D.
• Amanda Rose Marcos, M.A., CCC SLP
• Gigi G Mardigras, M.S.ED.
• Caron Margolin, M.S., C.C.C.-SLP
• Steffany Lissette Martinez
• Susan Matis Cicio, P.T.
• Giovanni Maturo

• Medical Physician Assistant in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.