NPIMap

Organization Active NPI

Marc Safran, MD PLLC

  • Eyewear Supplier
  • Liverpool, NY
National Provider Identifier
1881908770
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
200315 Issued in NY
Legal business name
MARC SAFRAN, MD PLLC
Practice address
8340 Oswego Rd
Liverpool, NY 13090-1026
Phone
(315) 622-1234
Fax
(315) 622-0018
NPI assigned
Aug 3, 2010
Organization subpart
Yes
Parent organization
MARC SAFRAN, MD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Marc J Safran, M.D.NPI 1740388602
Title
Owner
Phone
(315) 622-1234

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
Eyewear Supplier 332H00000X 200315 NY Primary

Addresses

Primary practice location

8340 Oswego Rd
Liverpool, NY 13090-1026

Mailing address

8340 Oswego Rd
Liverpool, NY 13090-1026
Phone (315) 622-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000723 NY DME Supplier - Optician 2860678885 Practice locations: Liverpool, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Marc Safran MD PLLC

Locations

8340 Oswego Rd
Liverpool, NY 13090
Phone (315) 622-1234

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1881908770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901026",
            "telephone_number": "315-622-1234",
            "fax_number": "315-622-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901026",
            "telephone_number": "315-622-1234",
            "fax_number": "315-622-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC SAFRAN, MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARC SAFRAN, MD PLLC",
        "enumeration_date": "2010-08-03",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SAFRAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-622-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "200315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.