DR. ABIR ASSAAD MARCUS M.D.
NPI 1467545079
Psychiatry & Neurology - Addiction Psychiatry in Red Bank, NJ
NPI Status: Active since October 02, 2006
Contact Information
321 BROAD ST
RED BANK, NJ
ZIP 07701
Phone: (732) 530-3122
- Individual
- Female
- Psychiatry & Neurology
- Addiction Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
- CLIA Number: 31D2023238
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-18-2027
About ABIR MARCUS
This page provides the complete NPI Profile along with additional information for Abir Marcus, a provider established in Red Bank, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1467545079 assigned on October 2006. The practitioner's primary taxonomy code is 2084P0802X with license number MA070225 (NJ). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1467545079
- Provider Name
- DR. ABIR ASSAAD MARCUS M.D.
- Other Name
- DR. ABIR ASSAAD BASSILY-MARCUS M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 321 BROAD ST RED BANK, NJ 07701
- Location Phone
- (732) 530-3122
- Mailing Address
- 321 BROAD ST RED BANK, NJ 07701
- Mailing Phone
- (732) 530-3122
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-02-2006
- Last Update Date
- 02-17-2015
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Abir Marcus opted out of Medicare effective on 01-01-2023 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA070225
- License State
- NJ
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | MA070225 (NJ) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | MA070225 (NJ) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | MA070225 (NJ) |
| 4 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | MA070225 (NJ) |
| 5 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | MA070225 (NJ) |
| 6 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 216468-1 (NY) |
| 7 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MA070225 (NJ) |
| 8 | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 216468-1 (NY) |
| 9 | 208U00000X | Allopathic & Osteopathic Physicians | Clinical Pharmacology | MA070225 (NJ) |
| 10 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | MA070225 (NJ) |
| 11 | 246QC1000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | 31D2023238 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H27001 | MEDICARE UPIN (02) | NJ | |
| 0012068 | MEDICAID (05) | NJ |
Medicare Participation & PECOS Enrollment Status
Abir Marcus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2023
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2023238
- Facility Type
- Physician Office
- Certificate Effective Date
- April 19, 2025
- Certificate Expiration Date
- April 18, 2027
- Laboratory Director
- ABIR MARCUS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Abir Marcus to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1467545079, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467545079, enumerated as an "individual" on October 02, 2006.
The provider is located at 321 BROAD ST RED BANK, NJ 07701 and the phone number is (732) 530-3122.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
