Active NPI
Mark Mankoff, MD PC
- Medical Specialty Clinic/Center
- New York, NY
National Provider Identifier
1124362967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 092450
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100924505 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.