Active NPI
Marc David London, M.D.
- Neurology Physician
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 154602
- Practice address
- 2 Crosfield Ave Ste 202
West Nyack, NY 10994-2219 - Phone
- (845) 353-4344
- Fax
- (845) 348-1873
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 154602 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave Ste 202
West Nyack, NY 10994-2219
Mailing address
2 Crosfield Ave Ste 202
West Nyack, NY 10994-2219
Phone (845) 353-4344
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00956818-03 | Medicaid | NY | |
| 3850735-002 | Other | NY | CIGNA |
| 66D101 | Other | NY | BLUE CHOICE |
| RS156 | Other | NY | OXFORD |
| 000000008354 | Other | NY | GHI HMO |
| 1000017387 | Other | NY | AFFINITY |
| 122304 | Other | NY | US HEALTHCARE |
| 4199225 | Other | NY | AETNA |
| 958837 | Other | NY | MVP |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Northwestern University Feinberg Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 480-7440
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-1201
Hospital & facility affiliations
- Nyack Hospital
- Helen Hayes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Medical Diagnostic Services, PC | Neurology | Current | Accepting new patients |
| Centerock Podiatry Associates, PC | Past | Accepting new patients | |
| Diagnostic Ultrasound Plus Inc | Past | Accepting new patients |
Locations
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
97 Route 303
Tappan, NY 10983
Phone (845) 348-2198
2 Crosfield Ave
Ste 202
West Nyack, NY 10994
Phone (845) 353-4344
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
Neurology
-
- Foot & Ankle Surgery Podiatrist
- West Nyack, NY
- NPI 1124053640
-
- Other Technician
- Fort Lee, NJ
- NPI 1952471013
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- General Acute Care Hospital
- West Haverstraw, NY
- NPI 1063525442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720140767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE STE 202",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942219",
"telephone_number": "845-353-4344",
"fax_number": "845-348-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE STE 202",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942219",
"telephone_number": "845-353-4344",
"fax_number": "845-348-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "MARC",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "154602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00956818-03",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3850735-002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "66D101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "RS156",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000008354",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000017387",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "122304",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4199225",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "958837",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.