Mark Paul Elstein, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS017798L Issued in PA

Practice address

1402 W Broad St
Suite 101
Quakertown, PA 18951-1110

Phone

(215) 536-8133

Fax

(215) 529-9498

NPI assigned

Jun 12, 2006

Last updated

Mar 31, 2011By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Valley Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Allentown, PA
  • NPI 1043240013
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1508808437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "address_2": "SUITE 101",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-536-8133",
            "fax_number": "215-529-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "address_2": "SUITE 101",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-536-8133",
            "fax_number": "215-529-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTEIN",
        "first_name": "MARK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS017798L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531229",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "120876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathi Eichman, MS
• Bruce T. Eisenhardt, DO
• Mohamad Abdul El-Kheir, DDS
• Michael Elban, PT
• Sonya Elnaggar, MD
• Michael Scott Emery, DO
• Eos Pennsylvania LLC
• Jason Michael Erickson, D.O.
• Etowah Dialysis LLC (St Lukes Quakertown Dialysis)
• Donald Everett Jr.

• Oral and Maxillofacial Surgery (Dentist) in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.