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MARC A. BRENNER, D.P.M., PLLC
NPI 1912276643
Podiatrist in Lake Success, NY

Active since December 27, 2011
2001 MARCUS AVENUE, LAKE SUCCESS, NY 11042(516) 355-2277(516) 626-9243 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marc A. Brenner, D.p.m., Pllc NPPES

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

MARC A. BRENNER, D.P.M., PLLC (NPI 1912276643), doing business as Marc Alan Brenner D.p.m., Pc, is a healthcare organization registered as a podiatrist in Lake Success, New York and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Glendale and lists Sharese Welch, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1912276643
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMARC A. BRENNER, D.P.M., PLLC
Location Address2001 MARCUS AVENUELake Success, NY 11042
Mailing Address83 Wheatley RdOld Westbury, NY 11568-1210 · (516) 355-2277 · Fax (516) 626-9243
Phone(516) 355-2277
Fax(516) 626-9243
Organization SubpartNo
Authorized OfficialSharese WelchCredentialing Specialist · (718) 573-1123
Enumeration DateDecember 27, 2011
Last NPPES UpdateJanuary 3, 2019
✔ NPI 1912276643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N002371-1
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2001 MARCUS AVENUE, Lake Success, NY 11042
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Other Names 1

Former Legal Business NameMarc Alan Brenner D.p.m., Pc

Secondary Practice Location 1

Location 17309 Myrtle AveGlendale, NY 11385-7418 · Phone (718) 456-7270 · Fax (718) 456-1874

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

Other Providers at the Same Location NPPES 6

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

YALISSA TAVERAS NURSE PRACTITIONER
Nurse Practitioner (Family)
2001 MARCUS AVENUE, SUITE W290
LAKE SUCCESS, NY 11042
Nassau County (516) 465-5255
PERRY J MILMAN MD PC
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE N18
LAKE SUCCESS, NY 11042
Nassau County (516) 775-7770
CARDIOVASCULAR WELLNESS SPECIALTY CARE PC
Internal Medicine (Cardiovascular Disease)
2001 MARCUS AVENUE, SUITE N210
LAKE SUCCESS, NY 11042
Nassau County (516) 354-3278
DR. BRADLEY MICHAEL MORGANSTERN M.D.
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE S265
LAKE SUCCESS, NY 11042
Nassau County (516) 686-0500
BRIAN D FEINGOLD MD
Internal Medicine
2001 MARCUS AVENUE, SUITE N100
LAKE SUCCESS, NY 11042
Nassau County (516) 365-1092
SUSAN RAMDHANEY MD PC
Internal Medicine (Gastroenterology)
2001 MARCUS AVENUE, SUITE N210
LAKE SUCCESS, NY 11042
Nassau County (914) 437-5850

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 A. Brenner, D.P.M., PLLC's NPI number?

The NPI number for Marc A. Brenner, D.P.M., PLLC is 1912276643. It was assigned to this organization in the NPPES registry on December 27, 2011. The provider was formerly known as Marc Alan Brenner D.P.M., PC.

Where is Marc A. Brenner, D.P.M., PLLC located?

Marc A. Brenner, D.P.M., PLLC is located at 2001 Marcus Avenue, Lake Success, NY 11042. The listed phone number is (516) 355-2277.

What is Marc A. Brenner, D.P.M., PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Marc A. Brenner, D.P.M., PLLC was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.