DR. ELLEN L MARMER MD
NPI 1336116086
Pediatrics - Pediatric Cardiology in Vernon, CT

Active since March 01, 2006PECOS EnrolledCLIA 07D0093227 · Waiver
520 HARTFORD TPKE, SUITE B, VERNON, CT 06066(860) 870-9366(860) 870-9358 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellen L Marmer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN L MARMER MD (NPI 1336116086) is an individual pediatric cardiology provider in Vernon, Connecticut, licensed in Connecticut (013993) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 11, 2026, and is a graduate of University Of Alabama School Of Medicine (1964).

NPPES Registry Identity

NPI1336116086
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. ELLEN L MARMERCredential: MD
Location Address520 HARTFORD TPKE, SUITE BVernon, CT 06066-5037
Mailing Address520 Hartford Tpke, Suite BVernon, CT 06066-5037 · (860) 870-9366 · Fax (860) 870-9358
Fax(860) 870-9358
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1964
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 13, 2007
NPI 1336116086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in CT · 013993
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
520 HARTFORD TPKE, Vernon, CT 06066

Other Identifiers 1

Medicare UPINE57729CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ellen L Marmer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446222145
PECOS Enrollment IDI20040812000446
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0093227

Ellen L Marmer MD · Vernon, CT
Active · expires Oct 11, 2026
CLIA Number07D0093227
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorEllen L. Marmer MD
Laboratory Phone(860) 870-9366
Laboratory LocationEllen L Marmer MD520 Hartford Turnpike, Vernon, CT 06066
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
520 HARTFORD TPKE, SUITE M
VERNON, CT 06066
Physician Assistant
520 HARTFORD TPKE, SUITE N
VERNON, CT 06066
Physical Therapist
520 HARTFORD TPKE
VERNON, CT 06066
Nurse Practitioner (Adult Health)
520 HARTFORD TPKE
VERNON, CT 06066
Internal Medicine
520 HARTFORD TPKE, SUITE P
VERNON, CT 06066
Pharmacy (Compounding Pharmacy)
520 HARTFORD TPKE, SUITE D
VERNON, CT 06066
Pharmacist
520 HARTFORD TPKE, UNIT D
VERNON, CT 06066
Internal Medicine (Cardiovascular Disease)
520 HARTFORD TPKE
VERNON, CT 06066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Marmer's NPI number?

The NPI number for Ellen Marmer is 1336116086. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Ellen Marmer located?

Ellen Marmer practices at 520 Hartford Tpke Suite B, Vernon, CT 06066. The listed phone number is (860) 870-9366.

What is Ellen Marmer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Ellen Marmer enrolled in Medicare?

Yes. Ellen Marmer is registered in the Medicare PECOS enrollment system.

Does Ellen Marmer hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0093227) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ellen Marmer was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.