Mark Tobak MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK TOBAK MD PC

Practice address

1600 Harrison Ave
Suite 105a
Mamaroneck, NY 10543-3145

Phone

(904) 698-3018

Fax

(914) 698-0685

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mark Tobak, M.D.NPI 1063578425

Title

President

Phone

(914) 698-3018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Mark Tobak, M.D.

  • Psychiatry Physician
  • Mamaroneck, NY
  • NPI 1063578425
  Medicare reassignment Authorized official
• Salomon Rivera

  • Specialist
  • New York, NY
  • NPI 1548234412
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1295891588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 105A",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "904-698-3018",
            "fax_number": "914-698-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 105A",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "904-698-3018",
            "fax_number": "914-698-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TOBAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "TOBAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-698-3018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamaroneck Union Free School District
• Mamaroneck Vision Center, Inc. (Raymond Opticians)
• Gladys Manosalvas
• Christopher M Marano, DDS
• Myra Marcus, PHD DSW MSW LCSW
• Yael Sverdlik Markowicz, L.AC., DACM
• Marsh Dermatology, P.C.
• Lorraine Martin, M.S.
• Igda Martinez, PSY.D.
• Bruce May, LCSW

• Psychiatry Physician in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.