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DR. MARC DENNIS GRODMAN M.D.
NPI 1487704797
Internal Medicine in New York, NY

Active since January 11, 2007PECOS Enrolled
622 W 168TH ST, NEW YORK, NY 10032(212) 305-9369 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc Dennis Grodman M.d. NPPES

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

DR. MARC DENNIS GRODMAN M.D. (NPI 1487704797) is an individual internal medicine provider in New York, New York, licensed in New York (138001) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487704797
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARC DENNIS GRODMANCredential: M.D.
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address630 West 168 Street, Box 4, Vc 12th Floor, Suite 208New York, NY 10032
Phone(212) 305-9369
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487704797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 138001
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
622 W 168TH ST, New York, NY 10032
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Other Identifiers 3

Medicare UPINF00225NY
Medicare ID-Type Unspecified10D311NY
Medicaid00806579NY

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. Marc Dennis Grodman 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 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

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

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

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 Marc Grodman's NPI number?

The NPI number for Marc Grodman is 1487704797. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Marc Grodman located?

Marc Grodman practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9369.

What is Marc Grodman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Grodman enrolled in Medicare?

Yes. Marc Grodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marc Grodman was last updated on July 8, 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.