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DR. ETHAN MARIN MD PHD
NPI 1740455864
Internal Medicine - Nephrology in New Haven, CT

Active since April 29, 2008PECOS Enrolled
330 CEDAR ST, BB114, NEW HAVEN, CT 06510(203) 785-4185 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ethan Marin Md Phd NPPES

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

DR. ETHAN MARIN MD PHD (NPI 1740455864) is an individual nephrology provider in New Haven, Connecticut, licensed in Connecticut (047176) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740455864
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ETHAN MARINCredential: MD PHD
Location Address330 CEDAR ST, BB114New Haven, CT 06510-3218
Mailing Address330 Cedar St, Bb114New Haven, CT 06510-3218 · (203) 785-4185
Phone(203) 785-4185
Sole ProprietorYes
Enumeration DateApril 29, 2008
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1740455864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CT · 047176
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
330 CEDAR ST, New Haven, CT 06510
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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. Ethan Marin Md Phd 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 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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. DIRK C. JOHNSON MD
Surgery
330 CEDAR ST, BB 310
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2572
MRS. DANA FORLANO APRN
Nurse Practitioner (Family)
330 CEDAR ST, BB 310
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4612
LAURA DAVIS
Surgery
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5000
DANIEL VILLAVECES MD
Student in an Organized Health Care Education/Training Program
330 CEDAR ST, FMB107
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7890
TRACY A STURROCK APRN
Nurse Practitioner (Family)
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 875-3098
DR. PRAMOD BONDE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
330 CEDAR ST, BOADMAN 204
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6122
DR. ERICA SARAH SPATZ M.D.
Internal Medicine (Cardiovascular Disease)
330 CEDAR ST, DANA 3 BUILDING
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6484
MRS. HEATHER MARIE ZELL APRN, CPNP
Nurse Practitioner (Pediatrics)
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-2754

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 Ethan Marin's NPI number?

The NPI number for Ethan Marin is 1740455864. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Ethan Marin located?

Ethan Marin practices at 330 Cedar St Bb114, New Haven, CT 06510. The listed phone number is (203) 785-4185.

What is Ethan Marin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ethan Marin enrolled in Medicare?

Yes. Ethan Marin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Marin was last updated on January 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.