Edward Stuart Marum

Primary specialty

OpticianTaxonomy code 156FX1800X

License

5672-1 Issued in NY

Practice address

15012 14TH Ave
Whitestone, NY 11357-1800

Phone

(718) 746-3937

Fax

(718) 747-6442

NPI assigned

Oct 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1740590801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PONDEROSA LN",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117673143",
            "telephone_number": "516-317-5516",
            "fax_number": "718-747-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-3937",
            "fax_number": "718-747-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUM",
        "first_name": "EDWARD",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "5672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Martinez, DPT
• Elisa C Martinez
• Kirian Martinez
• Lorelise Martinez
• Barbara Jean Martins, P.T.
• Gary C Matthesen, MPA OTR
• Marina Mavromatis, RPH
• Eileen McCan, M.A.
• Teresa Marie McCann
• Hannah McCloskey, MA, TSSLD

• Optician in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.