Active NPI
Marc Adam Agulnick, MD
- Orthopaedic Surgery of the Spine Physician
- Mineola, NY
National Provider Identifier
1700875846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 230967-1
- Practice address
- 200 Old Country Rd
Suite 470
Mineola, NY 11501-4235 - Phone
- (516) 739-9270
- Fax
- (516) 248-1727
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 230967-1 | NY | Primary |
Addresses
Primary practice location
200 Old Country Rd
Suite 470
Mineola, NY 11501-4235
Mailing address
PO Box 303
Franklin Square, NY 11010-0303
Phone (516) 739-9270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0267363 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050708000848 | NY | Practitioner - Orthopedic Surgery | 3779519012 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rutgers New Jersey Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marc Agulnick, MD, LLC
Practice addresses (Care Compare)
1122 Franklin Ave
Suite 106
Garden City, NY 11530-1643
Phone (516) 739-9270
Hospital & facility affiliations
- NYU Langone Hospitals
- St Francis Hospital - the Heart Center
- Mercy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 63 |
| Laminectomy or laminotomy (partial removal of spine bones) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230967-1 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Agulnick, MD, LLC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Island Therapy Fitness Center, LLC | Past | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients | |
| Franklin Lee DO PLLC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Locations
1122 Franklin Ave
Ste 106
Garden City, NY 11530
Phone (516) 739-9270
200 Old Country Rd
Ste 470
Mineola, NY 11501
Phone (516) 248-4488
Interoperability endpoints
- magulnick307903@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery of the Spine Physician
- Garden City, NY
- NPI 1790939189
NY, Orthopaedic Surgery of the Spine
-
- Orthopaedic Surgery of the Spine Physician
- Garden City, NY
- NPI 1659212678
Orthopaedic Surgery of the Spine
-
- Customized Equipment (DME)
- Mineola, NY
- NPI 1184788770
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
Hospital & facility affiliations 11
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": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1700875846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 303",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110100303",
"telephone_number": "516-739-9270",
"fax_number": "516-248-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OLD COUNTRY RD",
"address_2": "SUITE 470",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014235",
"telephone_number": "516-739-9270",
"fax_number": "516-248-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGULNICK",
"first_name": "MARC",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "230967-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0267363",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.