Individual provider Active NPI

Mark Lee Tischler, DC

  • Chiropractor
  • Valley Stream, NY
National Provider Identifier
1407026727
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-011913-1 Issued in NY
Practice address
139 N Central Ave
Suite 4
Valley Stream, NY 11580-3856
Phone
(516) 612-7288
Fax
(516) 612-7290
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-011913-1 NY Primary

Addresses

Primary practice location

139 N Central Ave
Suite 4
Valley Stream, NY 11580-3856

Mailing address

718 Sound View Rd
Oyster Bay, NY 11771-1114
Phone (610) 908-4947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X-011913-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1407026727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SOUND VIEW RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711114",
            "telephone_number": "610-908-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N CENTRAL AVE",
            "address_2": "SUITE 4",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803856",
            "telephone_number": "516-612-7288",
            "fax_number": "516-612-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHLER",
        "first_name": "MARK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-011913-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.