Individual provider Active NPI

Mark J Cali, MS, RPA-C

  • Physician Assistant
  • Oswego, NY
National Provider Identifier
1356440903
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011399 Issued in NY
Practice address
110 W 6TH St
Oswego, NY 13126-2507
Phone
(315) 349-5511
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011399 NY Primary

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2507

Mailing address

32020 Wilton Road
Carthage, NY 13619
Phone (315) 519-1549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070517000268 NY Practitioner - Physician Assistant 7719084292 Reassigns benefits to 2 organizations
I20200820000485 SD Practitioner - Physician Assistant 7719084292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
011399NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Aug 10, 2020 Accepting new patients
Horizon Health Care Inc CurrentSince Aug 10, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1356440903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32020 WILTON ROAD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-519-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALI",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MS, RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.