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MARVIN LOUIE CUSTODIO ENERIO
NPI 1952065260
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment
1468 MADISON AVE, NEW YORK, NY 10029(347) 862-8973 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marvin Louie Custodio Enerio NPPES

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

MARVIN LOUIE CUSTODIO ENERIO (NPI 1952065260) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403815) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952065260
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARVIN LOUIE CUSTODIO ENERIO
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address362 W 116th St Apt 2bNew York, NY 10026-2068 · (347) 862-8973
Phone(347) 862-8973
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 25, 2021
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1952065260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403815
1468 MADISON AVE, New York, NY 10029
Open in Google Maps ↗

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

Marvin Louie Custodio Enerio 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 ID2264828987
PECOS Enrollment IDI20220406001334
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 10029 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Marvin Louie Enerio's NPI number?

The NPI number for Marvin Louie Enerio is 1952065260. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Marvin Louie Enerio located?

Marvin Louie Enerio practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (347) 862-8973.

What is Marvin Louie Enerio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marvin Louie Enerio enrolled in Medicare?

Yes. Marvin Louie Enerio 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 Marvin Louie Enerio was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.