Mark Fromer, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARK FROMER, LLC

Practice address

3130 Grand Concourse
B5
Bronx, NY 10458-1213

Phone

(917) 693-5738

Fax

(417) 889-2041

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark Fromer, M.D.

Title

Medical Director

Phone

(917) 693-5738

Specialties & licenses 1

Addresses

Other names 1

• Eye Surgery Centers of New York Doing business as

Listed as

Mark Fromer LLC Dba Eye Surgery Centers of New YorkCCN 33C0001153

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1306249453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "B5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "917-693-5738",
            "fax_number": "417-889-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "B5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "917-693-5738",
            "fax_number": "417-889-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FROMER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "FROMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-693-5738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Centers of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Joseph Mariuma, M.D.
• Charisma Marius
• Cheryl Marius
• Yitbarek F Mariye
• Zachary Luay Marji, DDS
• Mark Fromer, MD PC
• Mark J Eisen LLC
• Leonard Mark, DDS
• Yuklan Mark
• Jagdish N Markale, DDS

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.