Marvin Brian Tankel, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

146498-1 Issued in NY

Practice address

266 Merrick Rd
Suite 201
Lynbrook, NY 11563-2640

Phone

(516) 599-4242

Fax

(516) 599-4449

NPI assigned

Jul 18, 2005

Last updated

Aug 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

New York Medical College, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Dermatologic Associates, LLPGroup PAC ID 8022900869, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Lynbrook, NY
  • NPI 1447264387
  Medicare reassignment Care Compare group NPD Authorized official
• Atlantic Dermatologic Associates LLP

  • Specialist
  • Lynbrook, NY
  • NPI 1306012737
  Authorized official Same address or phone
• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Bellmore, NY
  • NPI 1750557914
  Authorized official Same address or phone
• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Brooklyn, NY
  • NPI 1922274182
  NPD (past) Authorized official

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1700885290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MERRICK RD",
            "address_2": "SUITE 201",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632640",
            "telephone_number": "516-599-4242",
            "fax_number": "516-599-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MERRICK RD",
            "address_2": "SUITE 201",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632640",
            "telephone_number": "516-599-4242",
            "fax_number": "516-599-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKEL",
        "first_name": "MARVIN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "146498-1",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "146498-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Suran, D.P.M.
• Susan Friedman Orthodontics PC (Susan Friedman Orthodontics)
• Taftcare Pharmacy Inc.
• Michael Talish, M.S.
• Jeanne C Taloute
• Kelly B Tedesco
• Makenzie Patricia Teramo, MD, RD
• Tijo Thomas Thayil
• Kristen L Thies, RN
• Erica Thompson

• Dermatology Physician in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.