Nancy C Maruyama, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

177928 Issued in NY

Practice address

317 E 17TH St
Fierman Hall - Suite 5F09
New York, NY 10003-3804

Phone

(212) 420-4094

Fax

(212) 420-4332

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beth Israel Medical Center

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1275624199
  NPD (past)
• Beth Israel Medical Center Psychiatry & Behavioral Science

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1477582476
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1952477010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 17TH ST",
            "address_2": "FIERMAN HALL - SUITE 5F09",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-420-4094",
            "fax_number": "212-420-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 17TH ST",
            "address_2": "FIERMAN HALL - SUITE 5F09",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-420-4094",
            "fax_number": "212-420-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUYAMA",
        "first_name": "NANCY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "177928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02002202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott H Maruffi-Cowley, MSW
• Jorge Manuel Marull, M.D.
• Stephanie Amanda Marull, DO
• Megan Marumoto, M.D.
• Olga Marushchak, DO
• Marvel Imaging Inc.
• Julia Marvel, PA
• Marvin a Nierenberg, M.D.,P.C.
• Marvin Catibog P.T.,P.C.
• Marvin Mordkoff MD PC

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.