Organization Active NPI

Mark Mankoff, MD PC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1124362967
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
092450 Issued in NY
Legal business name
MARK MANKOFF, MD PC
Practice address
150 E 94TH St
New York, NY 10128-2568
Phone
(212) 722-4983
NPI assigned
Nov 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Authorized official

Name
Dr. Mark Richard Mankoff, M.D.
Title
President
Phone
(212) 722-4983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 092450 NY Primary

Addresses

Primary practice location

150 E 94TH St
New York, NY 10128-2568

Mailing address

150 E 94TH St
New York, NY 10128-2568

Other identifiers 1

IdentifierTypeStateIssuer
100924505MedicaidNY

National Provider Directory

National Provider Directory

Locations

150 E 94th St
New York, NY 10128
Phone (212) 396-1722

NPI Registry JSON

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1124362967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282568",
            "telephone_number": "212-722-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MANKOFF, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "MANKOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-722-4983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "092450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100924505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.