Jerelyn Rose Marcus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV3659 Issued in NY

Practice address

93 Bayview Ave
Great Neck, NY 11021-1015

Phone

(516) 482-8111

Fax

(516) 773-0079

NPI assigned

Feb 23, 2007

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750416129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BAYVIEW AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211015",
            "telephone_number": "516-482-8111",
            "fax_number": "516-773-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BAYVIEW AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211015",
            "telephone_number": "516-482-8111",
            "fax_number": "516-773-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "JERELYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marathon Physical Therapy of Ny PC
• Marc J Elkowitz, M.D., P.C.
• Harvey S Marchbein, M.D.
• Judith Marcic, NP
• Patrick Marckesano
• Joseh C Marcus, MD
• Judith Marcus, MD
• Maxine Molly Marcus, PH.D.
• Paul R Marcus, PHD
• Margarita Sadykova Sofiev NP in Family Health PC

• Optometrist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.