Mark H Vine, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

127841 Issued in NY

Practice address

123 Maple Ave
Suite 203
Cedarhurst, NY 11516-2240

Phone

(516) 561-6200

Fax

(516) 561-7112

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Urology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hamid Lalani Medical PLLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1093475220
  Medicare reassignment NPD
• Home Physician Assistant Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1639782972
  Medicare reassignment NPD
• Intermed Care PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1144235516
  Medicare reassignment NPD
• Mihail Medvedovsky Physician PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1942304001
  Medicare reassignment NPD
• Anastasios Pelias, M.D.,PC

  • Vascular Surgery Physician
  • Merrick, NY
  • NPI 1346445806
  NPD (past)
• Av Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1144680422
  NPD (past)
• Facial Plastic Surgery Otolaryngology LLC

  • Specialist
  • Brooklyn, NY
  • NPI 1356361794
  NPD (past)
• Jal 28 LLC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  NPD (past)
• Medical Network Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871507731
  NPD (past)
• Mermaid Management Inc

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1962793273
  NPD (past)
• South Beach Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1699872499
  NPD (past)
• South Island Medical Associates PC

  • Adult Medicine Physician
  • Far Rockaway, NY
  • NPI 1386702165
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1386668010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 FULTON AVE",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091312",
            "telephone_number": "516-561-6200",
            "fax_number": "516-561-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE",
            "address_2": "SUITE 203",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-561-6200",
            "fax_number": "516-561-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINE",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "127841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00382650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent One Medical Care P.C.
• Devorah Ustaev, PHARMD
• Laura N Victor, RPAC
• Victoria Silverman Consulting Corp.
• Village Open MRI
• Vipediatrics, PC
• Vision Associates of the Five Towns, Inc.
• Aliza Wachspress, PA-C
• Dikla Waldman
• Chaya Osna Wasser, MS CCC-SLP

• Urology Physician in Cedarhurst, NY
• Providers in Cedarhurst, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.