Individual provider Active NPI

David Marshak, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bronx, NY
National Provider Identifier
1750365318
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
200019-1 Issued in NY
Practice address
729 Pelham Pkwy N
Bronx, NY 10467-9506
Phone
(718) 881-4100
Fax
(718) 881-4101
NPI assigned
Dec 6, 2005
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08033900 NJ
Anesthesiology Physician 207L00000X 200019-1 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08033900 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 200019-1 NY Primary
General Practice Physician 208D00000X 200019-1 NY
Pain Medicine Physician 208VP0000X 25MA08033900 NJ
Pain Medicine Physician 208VP0000X 200019-1 NY
Interventional Pain Medicine Physician 208VP0014X 25MA08033900 NJ
Interventional Pain Medicine Physician 208VP0014X 200019-1 NY
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X 25MA08033900 NJ
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X 200019-1 NY
Independent Medical Examiner Physician 202C00000X 200019-1 NY

Addresses

Primary practice location

729 Pelham Pkwy N
Bronx, NY 10467-9506

Mailing address

603 W 115TH St # 350
New York, NY 10025-7722
Phone (718) 881-4100

Other identifiers 1

IdentifierTypeStateIssuer
01769502MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061205000721 NY Practitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Pain Management 7719986561 Reassigns benefits to 1 organization
I20110801000899 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 7719986561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of California, Irvine, California College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11572 Francis Lewis Blvd
Cambria Heights, NY 11411-1028
Phone (718) 276-8666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200019-1NYMDIndependent Medical Examiner Physician
25MA08033900NJMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Marshak MD PC Pain Medicine CurrentSince Mar 2, 2013 Accepting new patients
Northern Valley Anesthesiology, P.a. Anesthesiology CurrentSince Apr 17, 2013 Accepting new patients
Noam Kurtis MD PC Anesthesiology CurrentSince Mar 8, 2013 Accepting new patients
Ultimate Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

210 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 330-9090

145 Dreiser Loop
Bronx, NY 10475
Phone (347) 843-0900

729 Pelham Pkwy N
Bronx, NY 10467
Phone (718) 944-5050

11572 Francis Lewis Blvd
Jamaica, NY 11411
Phone (718) 276-8666

1041 3rd Ave
Ofc Of
New York, NY 10065
Phone (212) 362-3470

603 W 115th St
New York, NY 10025
Phone (646) 257-2429

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1750365318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W 115TH ST # 350",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257722",
            "telephone_number": "718-881-4100",
            "fax_number": "718-881-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679506",
            "telephone_number": "718-881-4100",
            "fax_number": "718-881-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHAK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08033900",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08033900",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "200019-1",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08033900",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08033900",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA08033900",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NY",
            "license": "200019-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01769502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.