Individual provider Active NPI

Marin Bucevic, M.D.

  • Psychiatry Physician
  • Briarwood, NY
National Provider Identifier
1861563009
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208941 Issued in NY
Practice address
8570 148TH St
Briarwood, NY 11435-2832
Phone
(718) 658-4101
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208941 NY Primary

Addresses

Primary practice location

8570 148TH St
Briarwood, NY 11435-2832

Mailing address

98 Willow St
Garden City, NY 11530-6623
Phone (516) 742-4484

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
I20110516000293 NY Practitioner - Psychiatry 6800072455 Reassigns benefits to 1 organization
Practice locations: Rockville Centre, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
The Long Island HomeGroup PAC ID 8224055108, 22 clinicians

Practice addresses (Care Compare)

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone (631) 608-5149

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208941NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Long Island Home CurrentSince Sep 1, 2014 Accepting new patients
The Long Island Home CurrentSince Sep 1, 2014 Accepting new patients
Benitez Medical Professional PC Past Accepting new patients
LMC Physician Services, PC Psychiatry Past Accepting new patients
New York Psychotherapy and Counseling Center Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

Organizations & group practices 5

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1861563009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WILLOW ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306623",
            "telephone_number": "516-742-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 148TH ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352832",
            "telephone_number": "718-658-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCEVIC",
        "first_name": "MARIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

Verify at the official NPI Registry.