MARILYN WAN
NPI 1710504816
Dermatology in New Hyde Park, NY

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
1991 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 321-8509 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2021, Jul 6, 2020 (2 updates tracked since 2020).

About Marilyn Wan NPPES

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

MARILYN WAN (NPI 1710504816) is an individual dermatology provider in New Hyde Park, New York, licensed in New York (333202) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710504816
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARILYN WAN
Location Address1991 MARCUS AVENew Hyde Park, NY 11042-2057
Mailing Address219 Sieaforth AvePittsburgh, PA 15216-1436
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 6, 2020
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1710504816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 333202
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.
1991 MARCUS AVE, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marilyn Wan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779908777
PECOS Enrollment IDI20250606003344
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 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Physical Therapist
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Pediatrics (Pediatric Rheumatology)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Social Worker
1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Student in an Organized Health Care Education/Training Program
1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042
Internal Medicine
1991 MARCUS AVE
NEW HYDE PARK, NY 11042

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 Marilyn Wan's NPI number?

The NPI number for Marilyn Wan is 1710504816. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Marilyn Wan located?

Marilyn Wan practices at 1991 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 321-8509.

What is Marilyn Wan's specialty?

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

Is Marilyn Wan enrolled in Medicare?

Yes. Marilyn Wan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marilyn Wan was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.