Individual provider Active NPI

Marc Tarle, M.D.

  • Psychiatry Physician
  • New City, NY
National Provider Identifier
1992834683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
141348 Issued in NY
Practice address
20 Squadron Blvd
# 560
New City, NY 10956-5200
Phone
(845) 639-9650
Fax
(845) 639-0727
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 141348 NY Primary

Addresses

Primary practice location

20 Squadron Blvd
# 560
New City, NY 10956-5200

Mailing address

20 Squadron Blvd
# 560
New City, NY 10956-5200
Phone (845) 639-9650

Other identifiers 1

IdentifierTypeStateIssuer
00725517MedicaidNY

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
I20040602000290 NY Practitioner - Psychiatry 0143202473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of Ny Upstate Medical University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Squadron Blvd
Suite 560
New City, NY 10956-5240
Phone (845) 639-9650

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141348NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Tarle M.D, PC Psychiatry CurrentSince Aug 2, 1994 Accepting new patients

Locations

20 Squadron Blvd
Ste 560
New City, NY 10956
Phone (845) 639-9650

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992834683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "# 560",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-639-9650",
            "fax_number": "845-639-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "# 560",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-639-9650",
            "fax_number": "845-639-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLE",
        "first_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "141348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00725517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.