Individual provider Active NPI

Marcel Mayas, M.D.

  • Psychiatry Physician
  • North Baldwin, NY
National Provider Identifier
1720035256
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
158472 Issued in NY
Practice address
625 Grant Ave
North Baldwin, NY 11510-1331
Phone
(516) 867-5747
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 158472 NY Primary

Addresses

Primary practice location

625 Grant Ave
North Baldwin, NY 11510-1331

Mailing address

625 Grant Ave
North Baldwin, NY 11510-1331
Phone (516) 867-5747

Other identifiers 1

IdentifierTypeStateIssuer
158472OtherLICENSE NUMBER

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
I20060111001166 NY Practitioner - Psychiatry 2668495052 Reassigns benefits to 1 organization
Practice locations: Baldwin, NY; Oceanside, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Nassau Communities HospitalGroup PAC ID 5092607846, 18 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 255-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158472NYMDPsychiatry Physician

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
South Nassau Communities Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1720035256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 GRANT AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101331",
            "telephone_number": "516-867-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 GRANT AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101331",
            "telephone_number": "516-867-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYAS",
        "first_name": "MARCEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "158472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "158472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

Verify at the official NPI Registry.