Organization Active NPI

Mark Medical, P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1154531812
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221665 Issued in NY
Legal business name
MARK MEDICAL, P.C.
Practice address
196 Canal Street
5TH Floor
New York, NY 10013-0995
Phone
(212) 385-6085
Fax
(212) 385-6081
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
John L Mark, M.D.
Title
Owner
Phone
(212) 385-6085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 221665 NY Primary

Addresses

Primary practice location

196 Canal Street
5TH Floor
New York, NY 10013-0995

Mailing address

PO Box 130363
New York, NY 10013-0995
Phone (212) 385-6085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1154531812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130363",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130995",
            "telephone_number": "212-385-6085",
            "fax_number": "212-385-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CANAL STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130995",
            "telephone_number": "212-385-6085",
            "fax_number": "212-385-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-385-6085",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221665",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 1, 2007; 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.