Mark Joseph Mifsud, O.T.R.

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

002571 Issued in NY

Practice address

75-20 Astoria Blvd.
Suite 220
Jackson Heights, NY 11370

Phone

(917) 647-9458

NPI assigned

Oct 1, 2009

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1386978724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521138",
            "telephone_number": "917-647-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-20 ASTORIA BLVD.",
            "address_2": "SUITE 220",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "917-647-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFSUD",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "002571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Dental & Anesthesiology P.C.
• Sukthi Miah, MD
• Kathleen Marie Michaelides
• Mickaela Marichal DNP Nurse Practitioner in Family Health PLLC
• Darryl Beacher Mickle
• Migdalia Maria Padilla, Ms, PT, P.C.
• Mirela Milanovic, RN
• Millennium Medical Group PC
• Brooke Jillian Miller
• Paul Mina, PHARMACIST

• Physical Rehabilitation Occupational Therapist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.