1. Home
  2. Directory
  3. New Jersey
  4. Passaic
  5. Internal Medicine
  6. NPI Profile

MARVIN TILLMAN BOYD M.D.
NPI 1417095126
Internal Medicine - Nephrology in Passaic, NJ

Active since February 02, 2007PECOS Enrolled
350 BOULVARD THE BOYD RENAL CLINIC, ST. MARY'S HOSPITAL AMBULATORY SERVICES,, PASSAIC, NJ 07055(973) 594-7800(973) 594-7801 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvin Tillman Boyd M.d. NPPES

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

MARVIN TILLMAN BOYD M.D. (NPI 1417095126) is an individual nephrology provider in Passaic, New Jersey, licensed in New Jersey (25MA03839300) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417095126
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARVIN TILLMAN BOYDCredential: M.D.
Location Address350 BOULVARD THE BOYD RENAL CLINIC, ST. MARY'S HOSPITAL AMBULATORY SERVICES,Passaic, NJ 07055
Mailing AddressPo Box 2306Paterson, NJ 07509-2306 · (973) 742-3300 · Fax (973) 582-0600
Phone(973) 594-7800
Fax(973) 594-7801
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 2, 2012
✔ NPI 1417095126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA03839300
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
350 BOULVARD THE BOYD RENAL CLINIC, Passaic, NJ 07055
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC54543NJ
Medicare ID-Type Unspecified441570NJ
Medicaid0371106NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marvin Tillman Boyd M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Marvin Boyd's NPI number?

The NPI number for Marvin Boyd is 1417095126. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Marvin Boyd located?

Marvin Boyd practices at 350 Boulvard The Boyd Renal Clinic St. Mary's Hospital Ambulatory Services,, Passaic, NJ 07055. The listed phone number is (973) 594-7800.

What is Marvin Boyd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Marvin Boyd enrolled in Medicare?

Yes. Marvin Boyd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marvin Boyd was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.