Active NPI
Loren Marks, D.C
- Nutrition Chiropractor
- New York, NY
National Provider Identifier
1942388129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X003930-1
- Practice address
- 200 W 57TH St
Suite 1010
New York, NY 10019-3211 - Phone
- (212) 333-7300
- Fax
- (212) 399-9659
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X003930-1 | NY | Primary |
Addresses
Primary practice location
200 W 57TH St
Suite 1010
New York, NY 10019-3211
Mailing address
200 W 57TH St
Suite 1010
New York, NY 10019-3211
Phone (212) 333-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X003930-1 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000004 | NY | Practitioner - Chiropractic | 6305022104 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003930-1 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942388129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 1010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-333-7300",
"fax_number": "212-399-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 1010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-333-7300",
"fax_number": "212-399-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "LOREN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X003930-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "X003930-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.