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

Individual provider Diagnostic Radiology Physician · NPI 1811975451

Marc J Gollub, MD is a Diagnostic Radiology in New York, New York. Graduated from Hahnemann University College of Medicine in 1986, 40 years ago. Practices with MSKCC Radiology Group, a 195-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
Hahnemann University College of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10021-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 174992 (NY)

Record details

NPI number1811975451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESApril 7, 2015

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Mskcc Radiology Group — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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