Mark Abdelmesih
Individual provider Active NPI Pharmacist · Bronx, NY
NPI 1093606972 · NPPES record last updated Jul 10, 2025
Key facts
- NPI
- 1093606972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 071928 (NY)
- Practice address
- 2417 3Rd Ave Ste 406
Bronx, NY 10451-6340 - Phone
- (347) 913-4656
- NPI assigned
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071928 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071928 | NY | Yes |
Addresses
Primary practice location
2417 3Rd Ave Ste 406
Bronx, NY 10451-6340
Mailing address
98 Jewett Ave
Jersey City, NJ 07304-2602
Phone (201) 238-6143
NPI Registry JSON
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1093606972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 JEWETT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042602",
"telephone_number": "201-238-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 3RD AVE STE 406",
"city": "BRONX",
"state": "NY",
"postal_code": "104516340",
"telephone_number": "347-913-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELMESIH",
"first_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.