Organization Active NPI

Marc Agulnick, MD, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Garden City, NY
National Provider Identifier
1790939189
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
230967-1 Issued in NY
Legal business name
MARC AGULNICK, MD, LLC
Practice address
1122 Franklin Ave Ste 106
Garden City, NY 11530-1643
Phone
(516) 739-9270
NPI assigned
Nov 11, 2008
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Marc Adam Agulnick, MDNPI 1700875846
Title
President
Phone
(516) 739-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 230967-1 NY Primary

Addresses

Primary practice location

1122 Franklin Ave Ste 106
Garden City, NY 11530-1643

Mailing address

1122 Franklin Ave Ste 106
Garden City, NY 11530-1643
Phone (516) 739-9270

Other names 1

  • MARC AGULNICK,MD,LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000267 NY Part B Supplier - Clinic/Group Practice 9133272255 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; Garden City, NY

National Provider Directory

National Provider Directory

Locations

1122 Franklin Ave
Garden City, NY 11530
Phone (516) 633-2066

1122 Franklin Ave
Ste 106
Garden City, NY 11530
Phone (516) 739-9270

200 Old Country Rd
Ste 470
Mineola, NY 11501
Phone (516) 248-4488

200 Old Country Rd
Ste 470A
Mineola, NY 11501
Phone (516) 739-9270

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1790939189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 FRANKLIN AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301643",
            "telephone_number": "516-739-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 FRANKLIN AVE STE 106",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301643",
            "telephone_number": "516-739-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC AGULNICK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "AGULNICK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-739-9270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "230967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARC AGULNICK,MD,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.