Active NPI
Mark Pinals, MD
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1205947660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2069171
- Practice address
- 519 E 72ND St
Suite #103
New York, NY 10021-4028 - Phone
- (212) 288-1575
- Fax
- (212) 288-7616
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME76180 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 2069171 | NY | Primary |
Addresses
Primary practice location
519 E 72ND St
Suite #103
New York, NY 10021-4028
Mailing address
519 E 72ND St
Ste 103
New York, NY 10021-4028
Phone (212) 288-1575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254364800 | Medicaid | FL | |
| P00943870 | Other | FL | RR MEDICARE - UCC |
| 300091132 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069171 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Florida Medical Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
-
- Diagnostic Radiology Physician
- Lutz, FL
- NPI 1629218573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1205947660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E 72ND ST",
"address_2": "STE 103",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214028",
"telephone_number": "212-288-1575",
"fax_number": "212-288-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E 72ND ST",
"address_2": "SUITE #103",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214028",
"telephone_number": "212-288-1575",
"fax_number": "212-288-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINALS",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME76180",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "2069171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254364800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - UCC",
"identifier": "P00943870",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300091132",
"state": "FL"
}
],
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.