Organization Active NPI

Dr.John J. Mark and Dr. Judith L. Mark LLP

  • Family Medicine Physician
  • North Merrick, NY
National Provider Identifier
1285948752
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
147046 Issued in NY
Legal business name
DR.JOHN J. MARK AND DR. JUDITH L. MARK LLP
Practice address
951 Merrick Ave
North Merrick, NY 11566-1001
Phone
(516) 489-6433
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Mrs. Nancy Clark Skelton
Title
Biller
Phone
(516) 997-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 147046 NY Primary

Addresses

Primary practice location

951 Merrick Ave
North Merrick, NY 11566-1001

Mailing address

951 Merrick Ave
North Merrick, NY 11566-1001
Phone (516) 489-6433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1285948752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MERRICK AVE",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661001",
            "telephone_number": "516-489-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MERRICK AVE",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661001",
            "telephone_number": "516-489-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JOHN J. MARK AND DR. JUDITH L. MARK LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "516-997-0876",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "147046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.