Individual provider Active NPI

Marc David London, M.D.

  • Neurology Physician
  • West Nyack, NY
National Provider Identifier
1720140767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
154602 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00956818-03MedicaidNY
3850735-002OtherNYCIGNA
66D101OtherNYBLUE CHOICE
RS156OtherNYOXFORD
000000008354OtherNYGHI HMO
1000017387OtherNYAFFINITY
122304OtherNYUS HEALTHCARE
4199225OtherNYAETNA
958837OtherNYMVP

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
I20060118001031 NY Practitioner - Neurology 6800827841 Reassigns benefits to 1 organization

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
White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

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 Hospital, Nyack, NY, CCN 330104
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Medical Diagnostic Services, PC Neurology CurrentSince Oct 1, 2022 Accepting new patients
Centerock Podiatry Associates, PC PastSince Jul 13, 2015 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.