Mark Antosh, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

1835571 Issued in NY

Practice address

824 Franklin Park Dr
East Syracuse, NY 13057-1614

Phone

(315) 432-1048

Fax

(315) 432-9219

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mark Antosh MD PC

  • Legal Medicine
  • East Syracuse, NY
  • NPI 1184716888
  Medicare reassignment NPD Authorized official
• Upstate Community Medical, PC

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1689620163
  Medicare reassignment NPD
• David M. Girardi, OD, LLC

  • Optometrist
  • East Syracuse, NY
  • NPI 1972916096
  NPD (past)
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)

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

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295746584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 FRANKLIN PARK DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571614",
            "telephone_number": "315-432-1048",
            "fax_number": "315-432-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 FRANKLIN PARK DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571614",
            "telephone_number": "315-432-1048",
            "fax_number": "315-432-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOSH",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "1835571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Rose Ames, FNP
• Thomas Robert Anderson, D.D.S.
• Diana Andrews, MD
• Troy S Andrews, PT
• Traian Marian Anghel, MD
• Apollo Physical Therapy, PLLC
• Apria Healthcare LLC
• Apria Healthcare of New York State, Inc.
• James G Asfour, MD
• Attune Marriage and Family Therapy PC

• Legal Medicine in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.