Organization Active NPI

Marke Banchik, MD PC

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1467659532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
151864 Issued in NY
Legal business name
MARKE BANCHIK, MD PC
Practice address
11 Gateway Dr
Great Neck, NY 11021-1924
Phone
(516) 829-1853
Fax
(516) 829-1853
NPI assigned
Jun 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Edward Banchik, MD
Title
President
Phone
(516) 829-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 151864 NY Primary

Addresses

Primary practice location

11 Gateway Dr
Great Neck, NY 11021-1924

Mailing address

PO Box 2125
Great Neck, NY 11022-2125
Phone (516) 829-1853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467659532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2125",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110222125",
            "telephone_number": "516-829-1853",
            "fax_number": "516-829-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GATEWAY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211924",
            "telephone_number": "516-829-1853",
            "fax_number": "516-829-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKE BANCHIK, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANCHIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-829-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "151864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.