Organization Active NPI

Julio E Albarran Marzan MD PC

  • Preferred Provider Organization
  • New York, NY
National Provider Identifier
1982040226
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
181719 Issued in NY
Legal business name
JULIO E ALBARRAN MARZAN MD PC
Practice address
452 Fort Washington Ave
New York, NY 10033-4600
Phone
(212) 781-8088
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Julio E Albarran Marzan, MD
Title
Physician
Phone
(212) 781-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 181719 NY Primary

Addresses

Primary practice location

452 Fort Washington Ave
New York, NY 10033-4600

Mailing address

254 Orangeburgh Rd
Old Tappan, NJ 07675-7408
Phone (212) 781-8088

Other identifiers 2

IdentifierTypeStateIssuer
01410544MedicaidNY
JA02L1110OtherNYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131014001034 NY Part B Supplier - Clinic/Group Practice 7113009762 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2262749Julio E Albarran Marzan, MD, PC452 Fort Washington Avenue, #1, New York, NY 10033ComplianceMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Julio E Albarran Marzan MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1982040226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ORANGEBURGH RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757408",
            "telephone_number": "212-781-8088",
            "fax_number": "212-320-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334600",
            "telephone_number": "212-781-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO E ALBARRAN MARZAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ALBARRAN MARZAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-781-8088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "181719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JA02L1110",
            "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 Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.