Khaled Ahmed Marden, DO

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003037 Issued in NY

Practice address

613 W 169TH St
New York, NY 10032-2914

Phone

(212) 927-8039

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

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

Credentials

Doctor of Osteopathy

Practice roles

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.

• Nyc Chiropractic Physical Therapy, Acu

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1881824308
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1770250375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEASIDE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054754",
            "telephone_number": "929-578-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W 169TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322914",
            "telephone_number": "212-927-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDEN",
        "first_name": "KHALED",
        "middle_name": "AHMED",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara V Marcuse, M.D.
• Laura Marczuk, OTD
• Alana Mardakhayev, NP
• Aysylu Mardanova, LMSW
• Bora Mardechia, M.D.
• Bella Marder
• Dova Dawn Marder, M.D.
• Janusz Marder, M.A.,L.C.A.T.
• Karen S Marder, M.D.
• Rachel Marder, PHARMD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.