Organization Active NPI

Marcus H Loo MD LLC

  • Specialist
  • New York, NY
National Provider Identifier
1740433325
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
159685 Issued in NY
Legal business name
MARCUS H LOO MD LLC
Practice address
254 Canal St
Suite 3001
New York, NY 10013-3501
Phone
(212) 925-8388
Fax
(212) 941-7426
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Marcus H Loo, M.D.NPI 1053315614
Title
Ceo
Phone
(212) 925-8388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 159685 NY Primary

Addresses

Primary practice location

254 Canal St
Suite 3001
New York, NY 10013-3501

Mailing address

254 Canal St
Suite 3001
New York, NY 10013-3501
Phone (212) 925-8388

Other identifiers 1

IdentifierTypeStateIssuer
01707271MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000746 NY Part B Supplier - Clinic/Group Practice 5597826701 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0959574Marcus H Loo MD LLC254 Canal St, Suite 3001, New York, NY 10013Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

254 Canal St
Rm 3001
New York, NY 10013
Phone (212) 925-8388

525 E 68th St
Rm F9WEST
New York, NY 10065
Phone (212) 925-8388

449 E 68TH St
Ste 8
New York, NY 10065
Phone (212) 535-2600

254 Canal St
New York, NY 10013
Phone (212) 420-4334

Interoperability endpoints

  • Direct secure messaging: marcusloo@mhlmd.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1740433325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 3001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-8388",
            "fax_number": "212-941-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 3001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-8388",
            "fax_number": "212-941-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS H LOO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-925-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "159685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.