Mark Fleckner M.D., P.C.

Key facts

NPI

1285850693

Entity type

Organization (NPI type 2)

Primary specialty

Ophthalmology Physician 207W00000X

License

200481 (NY)

Legal business name

MARK FLECKNER M.D., P.C.

Practice address

520 Franklin Ave
Suite L-6
Garden City, NY 11530-5801

Phone

(516) 739-5905

NPI assigned

Apr 17, 2007

Organization subpart

No

Authorized official

Name

Dr. Mark Fleckner, M.D. NPI 1225063274

Title

President

Phone

(516) 739-5905

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

• Mark Fleckner, M.D.,P.C. Retina Specialist (Ophthalmology) Physician · Garden City, NY · NPI 1225063274
  Medicare reassignment Care Compare group NPD Authorized official NY · OPHTHALMOLOGY
• Naima Gila Zilkha I, M.D. Retina Specialist (Ophthalmology) Physician · West Islip, NY · NPI 1245201847
  Medicare reassignment Care Compare group NPD NY · OPHTHALMOLOGY
• Andrew E Gewirtz, MD Ophthalmology Physician · New York, NY · NPI 1982601191
  Medicare reassignment NPD NY · OPHTHALMOLOGY
• Andrew R Brookner, M.D. Ophthalmology Physician · Greenville, SC · NPI 1629063888
  Medicare reassignment NPD NY · OPHTHALMOLOGY
• Jose Rizal B. Fonacier, M.D. Ophthalmology Physician · Hempstead, NY · NPI 1467542779
  NPD (past) OPHTHALMOLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2008.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1285850693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE L-6",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305801",
            "telephone_number": "516-739-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE L-6",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305801",
            "telephone_number": "516-739-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FLECKNER M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FLECKNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-739-5905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "200481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02059149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Garden City, NY · Ophthalmology Physician in New York