Individual provider Active NPI

Marco D Zarlengo, M.D.

  • Internal Medicine Physician
  • Croton on Hudson, NY
National Provider Identifier
1982719894
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
106477-1 Issued in NY
Practice address
115 Maple St
Croton on Hudson, NY 10520-2538
Phone
(914) 271-3583
Fax
(914) 271-4511
NPI assigned
Aug 20, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 106477-1 NY Primary
Nephrology Physician 207RN0300X 106477-1 NY

Addresses

Primary practice location

115 Maple St
Croton on Hudson, NY 10520-2538

Mailing address

115 Maple St
Croton on Hudson, NY 10520-2538
Phone (914) 271-3583

Other identifiers 1

IdentifierTypeStateIssuer
00523937MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080920000076 NY Practitioner - Internal MedicinePractitioner - Nephrology 9537236344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106477-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 26, 2018 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Nov 26, 2018 Accepting new patients
Phelps Memorial Hospital Association Internal Medicine Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Heritage Medical Group, LLP Internal Medicine Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

362 N Broadway
Ste 2
Sleepy Hollow, NY 10591
Phone (914) 631-2070

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

777 N Broadway
Ste 300
Sleepy Hollow, NY 10591
Phone (914) 631-2070

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1982719894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAPLE ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202538",
            "telephone_number": "914-271-3583",
            "fax_number": "914-271-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAPLE ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202538",
            "telephone_number": "914-271-3583",
            "fax_number": "914-271-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARLENGO",
        "first_name": "MARCO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "106477-1",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "106477-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00523937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.