Individual provider Active NPI

Mark Moshe Alperin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1164462438
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010522 Issued in NY
Practice address
1578 E 36TH St
Brooklyn, NY 11234-3416
Phone
(516) 229-1917
Fax
(585) 326-6008
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 233342 NY
Physician Assistant 363A00000X 010522 NY Primary

Addresses

Primary practice location

1578 E 36TH St
Brooklyn, NY 11234-3416

Mailing address

1578 E 36TH St
Brooklyn, NY 11234-3416
Phone (516) 229-1917

Other practice location 1

432 Bedford Ave
Brooklyn, NY 11249-6588
Phone (718) 260-4600

Other identifiers 1

IdentifierTypeStateIssuer
02866640MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000402 NY Order and Referring Only - Physician Assistant 0446351506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Emergency Physician Services, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1164462438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 E 36TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343416",
            "telephone_number": "516-229-1917",
            "fax_number": "718-260-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 E 36TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343416",
            "telephone_number": "516-229-1917",
            "fax_number": "585-326-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112496588",
            "country_code": "US",
            "telephone_number": "718-260-4600",
            "fax_number": "718-260-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALPERIN",
        "first_name": "MARK",
        "middle_name": "MOSHE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NY",
            "license": "233342",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02866640",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Brooklyn",
            "address_1": "14 Heyward St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112497823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.