Individual provider Active NPI

Mark Fleckner, M.D.,P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Garden City, NY
National Provider Identifier
1225063274
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
200481 Issued in NY
Practice address
520 Franklin Ave
Suite L6
Garden City, NY 11530
Phone
(516) 739-5905
Fax
(516) 739-6876
NPI assigned
Jul 11, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200481 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 200481 NY Primary

Addresses

Primary practice location

520 Franklin Ave
Suite L6
Garden City, NY 11530

Mailing address

520 Franklin Ave
Suite L6
Garden City, NY 11530-5801
Phone (516) 739-5905

Other identifiers 1

IdentifierTypeStateIssuer
02059149MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000085 NY Practitioner - Ophthalmology 2567561996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Fleckner M.D., P.C.Group PAC ID 0446359616, 2 clinicians

Practice addresses (Care Compare)

520 Franklin Ave
Suite 123
Garden City, NY 11530-5814
Phone (516) 739-5905

6134 188TH St
Suite 218
Fresh Meadows, NY 11365-2726
Phone (718) 454-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200481NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Fleckner M.D., P.C. Ophthalmology CurrentSince Aug 1, 2001 Accepting new patients

Locations

6134 188th St
Ste 218
Fresh Meadows, NY 11365
Phone (718) 454-7700

520 Franklin Ave
Ste 123
Garden City, NY 11530
Phone (516) 248-6868

520 Franklin Ave
Ste L6
Garden City, NY 11530
Phone (516) 739-5905

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1225063274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE L6",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305801",
            "telephone_number": "516-739-5905",
            "fax_number": "516-739-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE L6",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-739-5905",
            "fax_number": "516-739-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECKNER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "200481",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "200481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02059149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.