Individual provider Active NPI

Marne O'Shae, MD

  • Family Medicine Physician
  • Ithaca, NY
National Provider Identifier
1801922919
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228335-1 Issued in NY
Practice address
4 Sanctuary Dr # 2
Ithaca, NY 14850-1976
Phone
(607) 273-5551
Fax
(607) 275-0313
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228335-1 NY Primary

Addresses

Primary practice location

4 Sanctuary Dr # 2
Ithaca, NY 14850-1976

Mailing address

4 Sanctuary Dr # 2
Ithaca, NY 14850-1976
Phone (607) 273-5551

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000626 NY Practitioner - Family Practice 4981501301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228335-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Em-I Medical Services PC Past Accepting new patients
Sandra J Uppvall, PT, LMT Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1801922919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANCTUARY DR # 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501976",
            "telephone_number": "607-273-5551",
            "fax_number": "607-275-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANCTUARY DR # 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501976",
            "telephone_number": "607-273-5551",
            "fax_number": "607-275-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHAE",
        "first_name": "MARNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228335-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.