Active NPI
Marian R Panzer, PHD
- Psychologist
- Hicksville, NY
National Provider Identifier
1861522963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5092
- Practice address
- 372 S Oyster Bay Rd
Hicksville, NY 11801 - Phone
- (516) 822-6460
- Fax
- (516) 367-1425
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5092 | NY | Primary |
Addresses
Primary practice location
372 S Oyster Bay Rd
Hicksville, NY 11801
Mailing address
372 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 822-6460
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200803002737 | NY | Practitioner - Clinical Psychologist | 7517382872 | Practice locations: Hicksville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
176 Woodbury Rd
Suite 1
Hicksville, NY 11801-3018
Phone (516) 822-6460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5092 | NY | MD | Psychologist |
| 005092 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861522963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-822-6460",
"fax_number": "516-367-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-822-6460",
"fax_number": "516-367-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZER",
"first_name": "MARIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "5092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.