MARC A. BRENNER, D.P.M., PLLC (NPI# 1912276643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912276643 |
| Entity Type | Organization |
| Organization Name | MARC A. BRENNER, D.P.M., PLLC |
| Other Organization Name | MARC ALAN BRENNER D.P.M., PC |
| Practice Address |
2001 Marcus Avenue Lake Success NY 11042 |
| Mailing Address |
83 Wheatley Rd Old Westbury NY 11568-1210 |
| Practice Telephone | 5163552277 |
| Practice Fax Number | 5166269243 |
| Mailing Telephone | 5163552277 |
| Mailing Fax Number | 5166269243 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | SHARESE WELCH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7185731123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N002371-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Marc Alan brenner D.P.M., PC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7309 Myrtle Ave, Glendale, NY 113857418 | 7184567270 | 7184561874 |
| Street Address |
2001 MARCUS AVENUE |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628059 | Ari Leonard Ginsberg | Internal Medicine | 2001 Marcus Avenue, Suite S265, Lake Success, NY 11042-1035 | 2005-06-09 |
| 1598105793 | Cardiovascular Wellness Specialty Care PC | Internal Medicine | 2001 Marcus Avenue, Suite N210, Lake Success, NY 11042-1035 | 2013-07-02 |
| 1902246135 | Susan Ramdhaney Md PC | Internal Medicine | 2001 Marcus Avenue, Suite N210, Lake Success, NY 11042-1035 | 2013-07-02 |
| 1205925765 | Carol Lynn Dunetz | Obstetrics & Gynecology | 2001 Marcus Avenue, Lake Success, NY 11042 | 2006-10-12 |
| 1548287592 | Perry J Milman Md PC | Internal Medicine | 2001 Marcus Avenue, Suite N18, Lake Success, NY 11042-1011 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on MARC A. BRENNER, D.P.M., PLLC.
| 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.