Active NPI
Stuart Marcus, M.D.
- Surgical Oncology Physician
- Bridgeport, CT
National Provider Identifier
1780678227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 044473
- Practice address
- 2800 Main St
St. Vincent'S Medical Center
Bridgeport, CT 06606-4201 - Phone
- (203) 576-6101
- Fax
- (203) 581-6587
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 175417 | NY | |
| Surgical Oncology Physician | 2086X0206X | 044473 | CT | Primary |
Addresses
Primary practice location
2800 Main St
St. Vincent'S Medical Center
Bridgeport, CT 06606-4201
Mailing address
2800 Main St
St. Vincent'S Medical Center
Bridgeport, CT 06606-4201
Phone (203) 576-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01620075 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175417 | NY | MD | Surgery Physician |
| 044473 | CT | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVMC Holdings, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- Bridgeport, CT
- NPI 1154335909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1780678227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"address_2": "ST. VINCENT'S MEDICAL CENTER",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-6101",
"fax_number": "203-581-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"address_2": "ST. VINCENT'S MEDICAL CENTER",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-6101",
"fax_number": "203-581-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "STUART",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "175417",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CT",
"license": "044473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01620075",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.