Organization Active NPI

MCK Medical Services PC

  • Family Medicine Physician
  • East Rockaway, NY
National Provider Identifier
1003237611
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCK MEDICAL SERVICES PC
Practice address
500 Ocean Ave
East Rockaway, NY 11518-1238
Phone
(516) 665-2023
NPI assigned
Dec 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark C Kaufman, MD
Title
Medical Director
Phone
(516) 665-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 Ocean Ave
East Rockaway, NY 11518-1238

Mailing address

500 Ocean Ave
East Rockaway, NY 11518-1238
Phone (516) 665-2023

National Provider Directory

National Provider Directory

Locations

500 Ocean Ave
Unit 1
East Rockaway, NY 11518

510 Ocean Ave
#1
East Rockaway, NY 11518
Phone (516) 399-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1003237611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181238",
            "telephone_number": "516-665-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181238",
            "telephone_number": "516-665-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCK MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-665-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.