Individual provider Active NPI

Robert Marcus, MD

  • Emergency Medicine Physician
  • Yorktown Heights, NY
National Provider Identifier
1710972104
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
124143 Issued in NY
Practice address
225 Veterans Rd
Yorktown Heights, NY 10598-4436
Phone
(914) 302-8060
Fax
(914) 455-2980
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 124143 NY Primary

Addresses

Primary practice location

225 Veterans Rd
Yorktown Heights, NY 10598-4436

Mailing address

225 Veterans Rd
Yorktown Heights, NY 10598-4436
Phone (914) 302-8060

Other identifiers 9

IdentifierTypeStateIssuer
051105000017OtherFIDELISCARE PROVIDER ID#
3404474OtherAETNA HMO PROVIDER ID
10040294OtherCDPHP PROVIDER ID#
4147738OtherMVP HEALTHPLAN PIN#
5245708OtherAETNA PPO PROVIDER ID#
5C7514OtherHEALTHNET PROVIDER ID
20F211OtherEMPIRE BCBS PROVIDER ID#
4799146OtherGHI PPO PROVIDER ID #
P1975809OtherOXFORD HEALTH PROVIDER ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000404 NY Practitioner - Emergency Medicine 0143248005 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2012 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2012 Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

225 Veterans Rd
Yorktown Hts, NY 10598
Phone (914) 245-6800

Philadelphia, PA 19195

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1710972104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 VETERANS RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984436",
            "telephone_number": "914-302-8060",
            "fax_number": "914-455-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 VETERANS RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984436",
            "telephone_number": "914-302-8060",
            "fax_number": "914-455-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "124143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELISCARE PROVIDER ID#",
            "identifier": "051105000017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER ID",
            "identifier": "3404474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER ID#",
            "identifier": "10040294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLAN PIN#",
            "identifier": "4147738",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER ID#",
            "identifier": "5245708",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "5C7514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS PROVIDER ID#",
            "identifier": "20F211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO PROVIDER ID #",
            "identifier": "4799146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PROVIDER ID",
            "identifier": "P1975809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.