LISA MARX DO PLLC NPI 1700202629

NPI Information

NPI: 1700202629
Provider Name: LISA MARX, DO, PLLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 859 MONTAUK HWY
SUITE 3
BAYPORT, NY
ZIP 11705
Phone: (631) 868-7200

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NPI Details

LISA MARX, DO, PLLC is a primary care clinic center in Bayport, NY. LISA MARX, DO, PLLC NPI is 1700202629. The provider is registered as an organization entity type.

The provider's business location address is:

859 MONTAUK HWY
SUITE 3
BAYPORT, NY
ZIP 11705-634
Phone: (631) 868-7200
Fax: (631) 868-7199

The provider's authorized official is Lisa Joy Marx .
The authorized official title is President and has the following contact phone number (631) 868-7200.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 3/17/2014.

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
1	261QP2300X	Clinic/Center	Primary Care	195270	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G06310	MEDICARE UPIN	NEW YORK

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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