Individual provider Active NPI

Mark Joel Neuman, DO

  • Obstetrics & Gynecology Physician
  • Massapequa, NY
National Provider Identifier
1386985943
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
295007 Issued in NY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829002438 NY Practitioner - Obstetrics/Gynecology 4880944651 Reassigns benefits to 5 organizations

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
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

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

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Rockwell Health LLC CurrentSince Jun 20, 2023 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince May 30, 2023 Accepting new patients
Mid Nassau OB-GYN PLLC Obstetrics & Gynecology CurrentSince Aug 6, 2022 Accepting new patients
South Nassau Physician Practice PC CurrentSince Nov 2, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2026 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD
  • Direct secure messaging: mark.neuman.p1@direct.ezramedical.nextgenshare.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.