OrganizationMyra Marcus PaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3208 Windsor Park Ct, Englewood, NJ 07631-4982(201) 218-4788PECOS EnrollmentBased on the most recent information from CMS, provider Myra Marcus Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1497939870Provider TypeOrganizationFull NameMyra Marcus PaSubpartNoEnumeration Date12/21/2007Last Updated12/28/2007Contact InformationPractice LocationPractice Address3208 Windsor Park Ct, Englewood, NJ 07631-4982Phone(201) 218-4788FaxUnlisted FaxMailing LocationMailing Address3208 Windsor Park Ct, Englewood, NJ 07631-4982Phone(201) 218-4788FaxUnlisted FaxAuthorized OfficialNameMarcus, Myra (President)Phone(201) 218-4788Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW3305FloridaProvider IdentifiersIDDescriptionIssuerID1659352615DescriptionOtherIssuerNPI INDIVIDUALFlorida