DR. FRED WILLIAM MARCUS (NPI# 1710123963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710123963 |
| Entity Type | Individual |
| Full Name | DR. FRED WILLIAM MARCUS |
| Credential | D.O. |
| Practice Address |
770 Jericho Tpke Syosset NY 11791-4516 |
| Practice Telephone | 5164962049 |
| Practice Fax Number | 5164962049 |
| Mailing Telephone | 5164962049 |
| Mailing Fax Number | 5164962049 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
132700 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
770 JERICHO TPKE |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921957 | Titan Primary Care, Inc | Family Medicine | 3753 90th St Ste 11, Jackson Heights, NY 11372-7879 | 2020-08-05 |
| 1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
| 1548820608 | Cs Medical Associates, P.C. | Family Medicine | 727 N Broadway Ste B1, Massapequa, NY 11758-2348 | 2019-06-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
| 1457771842 | Gary Demara | Family Medicine | 220 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2014-04-24 |
| 1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
| 1740447101 | Bernard Charles Borkowski | Family Medicine | 2025 Kenneth Rd, Merrick, NY 11566-5508 | 2008-05-21 |
| 1023280740 | Charles Pouponneau | Family Medicine | 147-20 Archer Avenue, Jamaica, NY 11435 | 2008-04-02 |
| 1356562805 | Mario Douyon De Azevedo | Family Medicine | 3878 State Route 11, Suite 2, Malone, NY 12953-3726 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.