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DR. MARCELO TABORGA M.D.
NPI 1972847440
Internal Medicine in Woodside, NY

Active since November 21, 2012PECOS EnrolledAccepts Medicare Assignment
3096 51ST ST, WOODSIDE, NY 11377(718) 204-1469(718) 545-1726 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Marcelo Taborga M.d. NPPES

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

DR. MARCELO TABORGA M.D. (NPI 1972847440) is an individual internal medicine provider in Woodside, New York, licensed in New York (324905) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lynbrook, and is a graduate of Rutgers New Jersey Medical School (2010).

NPPES Registry Identity

NPI1972847440
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARCELO TABORGACredential: M.D.
Location Address3096 51ST STWoodside, NY 11377-1457
Mailing Address410 E 6th St Apt 20aNew York, NY 10009-6420 · (917) 687-4856
Phone(718) 204-1469
Fax(718) 545-1726
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010
Enumeration DateNovember 21, 2012
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1972847440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 324905
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3096 51ST ST, Woodside, NY 11377
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Secondary Practice Location 1

Location 1232 Merrick RdLynbrook, NY 11563-2623 · Phone (516) 594-5961 · Fax (516) 256-5556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marcelo Taborga M.d. 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 ID6204290091
PECOS Enrollment IDI20230912003574
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marcelo Taborga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ahmed Elkoulily M D P C
14 mi
Family Medicine
232 MERRICK RD
Lynbrook, NY 11563
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1689816902 (516) 594-5961
Express Medical Care Management Corp
14 mi
Multi-Specialty
232 MERRICK RD
Lynbrook, NY 11563
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1851784318 (516) 256-7706

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11377 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 5

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

ALTAGRACE BELMAR MD
Pediatrics
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
JEAN LANGHANS, NP, PC
Nurse Practitioner (Women's Health)
3096 51ST ST
WOODSIDE, NY 11377
Queens County (845) 633-0374
GLORIA DUNNDER LEACOCK MD
Family Medicine
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
DUNN-LEA MEDICAL PC
Family Medicine
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
MISS CONSTANCE H KIM PA-C
Physician Assistant
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469

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 Marcelo Taborga's NPI number?

The NPI number for Marcelo Taborga is 1972847440. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Where is Marcelo Taborga located?

Marcelo Taborga practices at 3096 51st St, Woodside, NY 11377. The listed phone number is (718) 204-1469.

What is Marcelo Taborga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marcelo Taborga enrolled in Medicare?

Yes. Marcelo Taborga 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.

Which organizations bill Medicare for Marcelo Taborga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelo Taborga reassigns Medicare benefits to 2 organizations: Ahmed Elkoulily M D P C (Lynbrook, NY) and Express Medical Care Management Corp (Lynbrook, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcelo Taborga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marcelo Taborga was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.