DR. MICHAEL REDA LATIF MARCO M.D. NPI 1164863098

NPI Information

  • NPI: 1164863098
  • Provider Name: DR. MICHAEL REDA LATIF MARCO, M.D.
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1650 SELWYN AVE
    MILSTEIN 4A
    BRONX, NY
    ZIP 10457
  • Phone: (412) 627-0404

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NPI Details

DR. Michael Reda Latif Marco, M.D. is a colon rectal surgery in Bronx, NY with 18 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Michael Reda Latif Marco, M.D. NPI is 1164863098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 SELWYN AVE
MILSTEIN 4A
BRONX, NY
ZIP 10457-626
Phone: (412) 627-0404
Fax: (718) 960-1370

The NPI 1164863098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic exam of anus using an endoscope (HCPCS:46600)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)

The enumeration date for this NPI number is 7/8/2013 and was last updated on 5/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208C00000XColon & Rectal Surgery25MA10593900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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