MARMUR MEDICAL
NPI 1598043432
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since July 26, 2011CLIA 33D2052872 · Certificate of Compliance
12 E 87TH ST SUITE 1A, NEW YORK, NY 10128(212) 996-6900(646) 376-5140 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marmur Medical NPPES

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

MARMUR MEDICAL (NPI 1598043432) is a healthcare organization registered as a mohs-micrographic surgery in New York, New York and active in the NPI registry since July 2011. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Ellen S Marmur, President, as its authorized official.

NPPES Registry Identity

NPI1598043432
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameMARMUR DERMATOLOGY AND CARDIOLOGY, PLLC
Location Address12 E 87TH ST SUITE 1ANew York, NY 10128-0501
Mailing Address12 E 87th St Suite 1aNew York, NY 10128-0501 · (212) 996-6900 · Fax (646) 376-5140
Fax(646) 376-5140
Organization SubpartNo
Authorized OfficialEllen S MarmurPresident · (212) 996-6900
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 3, 2017
✔ NPI 1598043432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 219305
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
12 E 87TH ST SUITE 1A, New York, NY 10128

Other Names 1

Doing Business AsMarmur Medical

Other Identifiers 1

Medicare PINA100053466NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marmur Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110812000096Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Marmur Medical, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1134114655
12 EAST 87TH STREET SUITE 1A
New York, NY 10128
(212) 996-6900
✔ PECOS0.4 mi
Dermatology
NPI 1679136790
12 E 87TH ST APT 1A
New York, NY 10128
(212) 996-6900
✔ PECOS0.4 mi
Dermatology
NPI 1598127730
12 E 87TH ST APT 1A
New York, NY 10128
(212) 996-6900
✔ PECOS0.4 mi
Dermatology
NPI 1114288214
119 5TH AVE FL 2
New York, NY 10003
(212) 533-8888
✔ PECOS✔ Accepts Medicare3.6 mi
Dermatology
NPI 1295153138
2 CENTEROCK RD
West Nyack, NY 10994
(845) 703-6999
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 33D2052872

Marmur Dermatology And Cardiology PLLC Dba Marmur Medical · New York, NY
Active · expires Nov 30, 2026
CLIA Number33D2052872
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Ellen S. Marmur
Laboratory Phone(212) 996-6900
Laboratory LocationMarmur Dermatology And Cardiology PLLC Dba Marmur Medical12 East 87th Street, Suite 1A, New York, NY 10128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Marmur Dermatology And Cardiology, PLLC's NPI number?

The NPI number for Marmur Dermatology And Cardiology, PLLC is 1598043432. It was assigned to this organization in the NPPES registry on July 26, 2011. The provider is doing business as Marmur Medical.

Where is Marmur Dermatology And Cardiology, PLLC located?

Marmur Dermatology And Cardiology, PLLC is located at 12 E 87th St Suite 1A, New York, NY 10128. The listed phone number is (212) 996-6900.

What is Marmur Dermatology And Cardiology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Marmur Dermatology And Cardiology, PLLC enrolled in Medicare?

Yes. Marmur Dermatology And Cardiology, PLLC is registered in the Medicare PECOS enrollment system.

When is Marmur Dermatology And Cardiology, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marmur Dermatology And Cardiology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Marmur Dermatology And Cardiology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marmur Dermatology And Cardiology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2052872) is associated with this NPI, valid through November 30, 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 Marmur Dermatology And Cardiology, PLLC was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.