Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marinel Ardeljan, DO

Individual provider Surgery Physician · NPI 1710121108

Dr. Marinel Ardeljan, DO is a General Surgery in Bay Shore, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2004, 22 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10 Brentwood Rd
Bay Shore, NY 11706
Phone: (631) 665-8200
Fax: (631) 665-8914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-7575

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 252253 (NY)

Record details

NPI number1710121108
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address707 E Main St, Middletown, NY 10940-2650

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2004 (22 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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