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DR. MARNIE NUSSBAUM MD
NPI 1649430984
Dermatology in New York, NY

Active since June 10, 2008Opted out of Medicare · through Dec 26, 2026
116 E 68TH ST, SUITE 1C, NEW YORK, NY 10065(212) 570-9595 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marnie Nussbaum Md NPPES

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

DR. MARNIE NUSSBAUM MD (NPI 1649430984) is an individual dermatology provider in New York, New York, licensed in New York (250439) and active in the NPI registry since June 2008. She has opted out of Medicare through December 26, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649430984
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARNIE NUSSBAUMCredential: MD
Location Address116 E 68TH ST, SUITE 1CNew York, NY 10065-5995
Mailing Address116 E 68th St, Suite 1cNew York, NY 10065-5995 · (212) 570-9595
Phone(212) 570-9595
Sole ProprietorNo
Enumeration DateJune 10, 2008
Last NPPES UpdateFebruary 23, 2012
✔ NPI 1649430984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 250439
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
116 E 68TH ST, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marnie Nussbaum Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 26, 2014 through December 26, 2026.

Opt-Out Effective DateDecember 26, 2014
Opt-Out In Effect ThroughDecember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

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

DR. WAYNE GRAHAM WHITMORE M.D.
Ophthalmology
116 E 68TH ST
NEW YORK, NY 10065
New York County (212) 249-3030

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 Marnie Nussbaum's NPI number?

The NPI number for Marnie Nussbaum is 1649430984. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Marnie Nussbaum located?

Marnie Nussbaum practices at 116 E 68th St Suite 1C, New York, NY 10065. The listed phone number is (212) 570-9595.

What is Marnie Nussbaum's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Marnie Nussbaum enrolled in Medicare?

No. Marnie Nussbaum has opted out of Medicare through December 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marnie Nussbaum was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.