Individual provider Active NPI

Hillary N Marcus, M.D.

  • Internal Medicine Physician
  • Lower Gwynedd, PA
National Provider Identifier
1891892352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD428503 Issued in PA
Practice address
714 N. Bethlehem Pike
Suite 101
Lower Gwynedd, PA 19002
Phone
(215) 540-4411
Fax
(215) 540-4415
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD428503 PA Primary

Addresses

Primary practice location

714 N. Bethlehem Pike
Suite 101
Lower Gwynedd, PA 19002

Mailing address

714 N. Bethlehem Pike
Suite 101
Lower Gwynedd, PA 19002
Phone (215) 540-4411

Other identifiers 1

IdentifierTypeStateIssuer
103027430MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428503PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891892352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N. BETHLEHEM PIKE",
            "address_2": "SUITE 101",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-540-4411",
            "fax_number": "215-540-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N. BETHLEHEM PIKE",
            "address_2": "SUITE 101",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-540-4411",
            "fax_number": "215-540-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "HILLARY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD428503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103027430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.