Active NPI
Marc Adorno
- Physician Assistant
- Bronx, NY
National Provider Identifier
1790639235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 035181
- Practice address
- 5822 Broadway
Bronx, NY 10463-2454 - Phone
- (718) 549-3185
- NPI assigned
- Feb 23, 2026
- Last updated
- Jun 9, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 035181 | NY | Primary |
Addresses
Primary practice location
5822 Broadway
Bronx, NY 10463-2454
Mailing address
5822 Broadway
Bronx, NY 10463-2454
Other practice location 1
209 W 96th St
New York, NY 10025-6337
Phone (212) 864-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of Ny Upstate Medical University, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1027 46TH Ave
Long Island City, NY 11101-5202
220 Front St
New York, NY 10038-2031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1134349954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1790639235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5822 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104632454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5822 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104632454",
"telephone_number": "718-549-3185"
}
],
"practiceLocations": [
{
"address_1": "209 W 96th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100256337",
"country_code": "US",
"telephone_number": "212-864-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADORNO",
"first_name": "MARC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-02-23",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "035181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.