MEDICARE: DR. JUSTIN MARCUS M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	25MA10461800	NJ
2	2084N0400X	Neurology Physician	278427	NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A400118208	OTHER	NY	MEDICARE PTAN
2	A400122561	OTHER	NY	MEDICARE PTAN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1588983761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN MARCUS M.D.

Provider Business Mailing Address
First Line	:	322 CENTRAL PARK W APT 8B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-7629
Country	:	US
Telephone Number	:	305-904-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 E 34TH ST
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10016-4974
Country	:	US
Telephone Number	:	212-726-7414
Fax Number	:	212-726-7439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2010
Last Update Date	:	06/12/2025

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

317 E 34TH ST , 7TH FLOOR
NEW YORK, NY
10016-4974

Practice Phone: 212-726-7444
Practice Fax: 212-209-3244