Active NPI
Mark Joel Neuman, DO
- Obstetrics & Gynecology Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 295007
- Practice address
- 1130 N Broadway Ste 120
Massapequa, NY 11758-1339 - Phone
- (516) 566-0805
- Fax
- (516) 566-0875
- NPI assigned
- Mar 7, 2013
- Last updated
- Nov 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 295007 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1130 N Broadway Ste 120
Massapequa, NY 11758-1339
Mailing address
1130 N Broadway Ste 120
Massapequa, NY 11758-1339
Phone (516) 566-0805
Other practice location 1
1 Healthy Way
Oceanside, NY 11572-1551
Phone (877) 768-8462
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 N Broadway
Suite 120
Massapequa, NY 11758-1339
Phone (516) 566-0805
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Rockwell Health LLC | Current | Accepting new patients | |
| Park Avenue Pediatrics, P.C. | Current | Accepting new patients | |
| Mid Nassau OB-GYN PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| South Nassau Physician Practice PC | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Ilyagu Medical PC | Past | Accepting new patients | |
| South Nassau Communities Hospital | Past | Accepting new patients | |
| Mount Kisco Medical Group | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000
17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090
202 Caton Ave
Brooklyn, NY 11218
1130 N Broadway
Ste 120
Massapequa, NY 11758
Phone (516) 566-0805
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616
1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHFGDD
- mark.neuman.p1@direct.ezramedical.nextgenshare.com
- mark.neuman@4018.securemail.prognocis.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Massapequa, NY
- NPI 1720707169
-
dba CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
dba PArk Avenue Health CEnter
- Pediatrics Physician
- Spring Valley, NY
- NPI 1699969543
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1699479733
-
- Surgery Physician
- Valley Stream, NY
- NPI 1962652685
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1730859935
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1386985943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N BROADWAY STE 120",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581339",
"telephone_number": "516-566-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N BROADWAY STE 120",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581339",
"telephone_number": "516-566-0805",
"fax_number": "516-566-0875"
}
],
"practiceLocations": [
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "877-768-8462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUMAN",
"first_name": "MARK",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-07",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "295007",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
- Jennifer C Nelson, LAC, LMT, RYT
- John Nelson, LMT
- Shireen R Nelson, RPH
- Nicholas Peter Nesi, PT, DPT
- Mary Ellen Danielle Nesnay, D.M.D.
- Neuro Home Physical Therapy PLLC
- New Creation Christian Counseling & Professional Services
- New York Dentistry Services PLLC
- New York Dentistry Services PLLC
- New York Vascular Intervention PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.