Active NPI
Jeffrey C Marc, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1962578229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 144388
- Practice address
- 1711 Sheepshead Bay Rd
Lover Level
Brooklyn, NY 11235-3651 - Phone
- (718) 332-7717
- Fax
- (718) 615-9590
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 144388 | NY | Primary |
Addresses
Primary practice location
1711 Sheepshead Bay Rd
Lover Level
Brooklyn, NY 11235-3651
Mailing address
1711 Sheepshead Bay Rd Lower Level
Brooklyn, NY 11235-3651
Phone (718) 332-7717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00855789 | Medicaid | NY |
Other names 1
- Jeffrey Marc Chwatuk
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050803000968 | NY | Practitioner - Internal Medicine | 1557399102 | Practice locations: Brooklyn, NY; Woodmere, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1711 Sheepshead Bay Rd
Brooklyn, NY 11235-3651
Phone (718) 332-7717
Hospital & facility affiliations
- Girling Health Care of New York
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Quality
- 79.86
- Promoting interoperability
- 88.89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144388 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Wellness Chiropractic, P.C | Past | Accepting new patients | |
| Traube Marush & Plawes M D P C | Internal Medicine | Past | Accepting new patients |
| Park Slope Medical Service PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/26654/brand/3/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Chiropractor
- Brooklyn, NY
- NPI 1033657440
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1144236746
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1033327796
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1962578229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 SHEEPSHEAD BAY RD LOWER LEVEL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353651",
"telephone_number": "718-332-7717",
"fax_number": "718-615-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 SHEEPSHEAD BAY RD",
"address_2": "LOVER LEVEL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353651",
"telephone_number": "718-332-7717",
"fax_number": "718-615-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARC",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "144388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00855789",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "CHWATUK",
"middle_name": "MARC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.