Active NPI
Isaac Marin-Valencia, M.D., M.S.
- Neurology Physician
- New York, NY
National Provider Identifier
1740579812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 278272
- Practice address
- 1 Gustave L. Levy PL
Graduate Medical School
New York, NY 10029-6574 - Phone
- (212) 241-6500
- NPI assigned
- Mar 29, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 278272 | NY | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 278272 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1 Gustave L. Levy PL
Graduate Medical School
New York, NY 10029-6574
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
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
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 E 98TH St 7TH FL
Doctor'S Office Neurology
New York, NY 10029-6501
Phone (212) 241-4572
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Neurology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
5 E 98th St
Fl 7
New York, NY 10029
Phone (212) 241-0002
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
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- NPI 1558627844
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
Neurology
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1740579812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PL",
"address_2": "GRADUATE MEDICAL SCHOOL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN-VALENCIA",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2022-08-10",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "278272",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NY",
"license": "278272",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 10, 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.