Individual provider Active NPI

Marisa Kardos Garshick, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1861750549
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
272998 Issued in NY
Practice address
1385 York Ave
Apartment 16D
New York, NY 10021-3904
Phone
(201) 218-7616
NPI assigned
May 1, 2012
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 272998 NY Primary

Addresses

Primary practice location

1385 York Ave
Apartment 16D
New York, NY 10021-3904

Mailing address

1385 York Ave
Apartment 16D
New York, NY 10021-3904
Phone (201) 218-7616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161004001109 NY Practitioner - Dermatology 1658669882 Reassigns benefits to 1 organization
I20220922001121 NJ Practitioner - Dermatology 1658669882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Center of North JerseyGroup PAC ID 6406802388, 4 clinicians
Manhattan Dermatology and Cosmetics PLLCGroup PAC ID 4385778570, 9 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 201
Clifton, NJ 07013-3517
Phone (973) 777-6444

820 2ND Ave
RM 3a
New York, NY 10017-4534
Phone (212) 661-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions389
Removal of nail tissue1-10
Skin biopsy257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272998NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of North Jersey CurrentSince Nov 1, 2022 Accepting new patients
Manhattan Dermatology and Cosmetics PLLC Dermatology CurrentSince Jul 19, 2016 Accepting new patients
New Jersey Dermatology and Aesthetics Center LLC Dermatology CurrentSince Dec 1, 2022 Accepting new patients

Locations

1033 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 777-6444

401 S Van Brunt St
Ste 403
Englewood, NJ 07631
Phone (201) 408-5041

479 County Road 520
Ste A201
Marlboro, NJ 07746
Phone (732) 702-1212

225 W Montauk Hwy
Ste 3
Hampton Bays, NY 11946
Phone (212) 518-4562

820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376

Interoperability endpoints

  • Direct secure messaging: marisa.garshick.1@7628.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1861750549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 YORK AVE",
            "address_2": "APARTMENT 16D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213904",
            "telephone_number": "201-218-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 YORK AVE",
            "address_2": "APARTMENT 16D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213904",
            "telephone_number": "201-218-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSHICK",
        "first_name": "MARISA",
        "middle_name": "KARDOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "272998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.