Marcelo Taborga, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

324905 Issued in NY

Practice address

3096 51St St
Woodside, NY 11377-1457

Phone

(718) 204-1469

Fax

(718) 545-1726

NPI assigned

Nov 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Rutgers New Jersey Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Express Medical Care Management CorpGroup PAC ID 6406160225, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Express Medical Care Management Corp

  • Multi-Specialty Clinic/Center
  • Lynbrook, NY
  • NPI 1851784318
  Medicare reassignment Care Compare group
• Ahmed Elkoulily M D P C

  • General Practice Physician
  • Lynbrook, NY
  • NPI 1689816902
  Medicare reassignment NPD

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1972847440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E 6TH ST APT 20A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096420",
            "telephone_number": "917-687-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 51ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771457",
            "telephone_number": "718-204-1469",
            "fax_number": "718-545-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115632623",
            "country_code": "US",
            "telephone_number": "516-594-5961",
            "fax_number": "516-256-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABORGA",
        "first_name": "MARCELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "324905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ratsamee Suvannachakkham
• Dyoceline N Sykaras
• Synapse Medical Care, P.C.
• Brenda Sze, DDS
• Luisa Fernanda Tabares
• Amil Kusain Tan Jr., PHD, RN, FNP
• Serafin Andaya Tapia, OTA/L
• Elaine Renee Taylor, C.A.S.A.C.-T.
• Tazmi Corp
• Susana D Tedjasendjaja

• Internal Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.

Verify at the official NPI Registry.