Individual provider Active NPI

Marc D Danziger, MD

  • Urology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1912958869
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
196895 Issued in NY
Practice address
1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone
(914) 737-8675
Fax
(914) 737-6016
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 196895 NY Primary

Addresses

Primary practice location

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111

Mailing address

110 S Bedford Rd
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other practice location 1

245 E 54th St
2N
New York, NY 10022-4707
Phone (212) 570-6800

Other identifiers 1

IdentifierTypeStateIssuer
01977513MedicaidNY

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
I20040513000627 NY Practitioner - Urology 7618967597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392

Hospital & facility affiliations

  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196895NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC Urology CurrentSince Jan 17, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2017 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2017 Accepting new patients
SBH Physicians, PC CurrentSince Jan 17, 2023 Accepting new patients
Union Community Health Center, Inc. CurrentSince Mar 17, 2024 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
St. Barnabas Orthopedic Surgery Practice PC Past Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients
North Shore-Lij Medical PC Urology Past Accepting new patients

Locations

2016 Bronxdale Ave
Bronx, NY 10462
Phone (718) 822-1515

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

4422 3rd Ave
Fl 2
Bronx, NY 10457
Phone (718) 960-3000

111 E 210th St
Bronx, NY 10467

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mdanziger18489@sbhny.direct-ci.net
  • Direct secure messaging: marc.danziger.1@18107.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912958869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674111",
            "telephone_number": "914-737-8675",
            "fax_number": "914-737-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 E 54th St",
            "address_2": "2N",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224707",
            "country_code": "US",
            "telephone_number": "212-570-6800",
            "fax_number": "212-734-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANZIGER",
        "first_name": "MARC",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "196895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01977513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.