Active NPI
Manuel Marquez, FNP
- Family Nurse Practitioner
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F337207-1
- Practice address
- 75 Kings Highway Cutoff Ste 3a
Fairfield, CT 06824-5340 - Phone
- (203) 373-7330
- NPI assigned
- Oct 11, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F337207-1 | NY | Primary |
Addresses
Primary practice location
75 Kings Highway Cutoff Ste 3a
Fairfield, CT 06824-5340
Mailing address
11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031-2313
Phone (703) 914-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmarquez@nspc.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 Sand Pit Rd
Danbury, CT 06810-4032
Phone (203) 792-7277
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9380 | CT | MD | Clinical Social Worker |
| 337207 | NY | MD | Licensed Practical Nurse |
| F337207-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain & Spine Specialists of Connecticut, LLC | Current | Accepting new patients | |
| Pain & Spine Specialists of Connecticut, LLC | Current | Accepting new patients | |
| Bronx Anesthesia Services, PC | Current | Accepting new patients |
Locations
67 Sand Pit Rd
Danbury, CT 06810
Phone (203) 792-2003
75 Kings Highway Cutoff
Ste 3A
Fairfield, CT 06824
Phone (203) 373-7330
11 South Rd
Ste 250
Farmington, CT 06032
Phone (860) 674-0222
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
Interoperability endpoints
- mmarquez@hiemail.healtheconnections.org
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.
-
- Interventional Pain Medicine Physician
- Danbury, CT
- NPI 1467588020
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1225330103
-
- Interventional Pain Medicine Physician
- Fairfield, CT
- NPI 1386256378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1740532977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"address_2": "EXECUTIVE PLAZA 1, STE. 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210312313",
"telephone_number": "703-914-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 KINGS HIGHWAY CUTOFF STE 3A",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245340",
"telephone_number": "203-373-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F337207-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmarquez@nspc.emadirect.md",
"affiliation": "N",
"address_1": "75 Kings Highway Cutoff Ste 3A",
"city": "Fairfield",
"state": "CT",
"country_code": "US",
"postal_code": "068245340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.