Mark a. Koenig, D.O., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

174687 Issued in NY

Legal business name

MARK A. KOENIG, D.O., P.C.

Practice address

606 Middle Country Rd
Suite 1
Middle Island, NY 11953-2556

Phone

(631) 924-5060

Fax

(631) 924-8690

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Alan Koenig, D.O.NPI 1831252964

Title

President

Phone

(631) 924-5060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Koenig, D.O.

  • Family Medicine Physician
  • Miller Place, NY
  • NPI 1831252964
  NPD (past) Authorized official

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1265708374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MIDDLE COUNTRY RD",
            "address_2": "SUITE 1",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532556",
            "telephone_number": "631-924-5060",
            "fax_number": "631-924-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MIDDLE COUNTRY RD",
            "address_2": "SUITE 1",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532556",
            "telephone_number": "631-924-5060",
            "fax_number": "631-924-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. KOENIG, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-924-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "174687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Malone
• Alanna Marie Manfre, MA
• Jennifer Rose Manganiello, OTR/L
• Loretta Ann Manning
• Elvia Elizabeth Manrique, FNP
• Lauren A Marmurowski
• Mary Martignette
• Juliann Marie Martin, OTR/L
• Joshua Martino
• Tara M Marulli

• Primary Care Clinic/Center in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.