NPIMap

Individual provider Active NPI

Marc Kennedy Ross, M.D

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1750485991
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1842451 Issued in NY
Practice address
227 E 19TH St
New York, NY 10003-2602
Phone
(212) 995-6661
Fax
(212) 979-3579
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 184245 NY
Physical Medicine & Rehabilitation Physician 208100000X 1842451 NY Primary

Addresses

Primary practice location

227 E 19TH St
New York, NY 10003-2602

Mailing address

158 W 27TH St
11TH Floor South
New York, NY 10001-6216
Phone (212) 563-2497

Other identifiers 1

IdentifierTypeStateIssuer
01449229MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000522 NY Practitioner - Physical Medicine and Rehabilitation 7416965678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1546

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1842451NYMDPhysical Medicine & Rehabilitation Physician
184245NYMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Physical Medicine & Rehabilitation CurrentSince Dec 1, 2023 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Jul 1, 2015 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jul 1, 2015 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Physical Medicine & Rehabilitation CurrentSince Jan 15, 2024 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
Maimonides Medical Center Past Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

760 Parkside Ave
Brooklyn, NY 11226
Phone (917) 751-9093

Networks

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

Interoperability endpoints

  • Direct secure messaging: marc.ross.1@438.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1750485991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W 27TH ST",
            "address_2": "11TH FLOOR SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016216",
            "telephone_number": "212-563-2497",
            "fax_number": "212-563-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032602",
            "telephone_number": "212-995-6661",
            "fax_number": "212-979-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARC",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NY",
            "license": "184245",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1842451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.