Mark B Irwin, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

1685650 Issued in NY

Practice address

359 Clinton St
Brooklyn, NY 11231-3701

Phone

(646) 460-1479

Fax

(718) 875-7864

NPI assigned

Jun 10, 2005

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 1

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

Specialty

Urology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: markirwin@mai.allscriptsdirect.net

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Cobble Hill Womens Gynecology FPP

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1063735306
  NPD (past)
• Fiducia Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1922199181
  NPD (past)
• Long Island College Hospital Urology Associates at Lich

  • Urology Physician
  • Brooklyn, NY
  • NPI 1144276627
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1508860263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313701",
            "telephone_number": "646-460-1479",
            "fax_number": "718-875-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313701",
            "telephone_number": "646-460-1479",
            "fax_number": "718-875-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "1685650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irvington Healthcare Providers LLC
• Irwin Goldschein DDS PC
• Irwin Kolin, DDS
• Irwin L Azar DDS PC
• Jack Irwin, DDS
• Mitch Irwin, M.S., SLP-CFY
• Raeanne Irwin, LPN
• Shameka Irwin
• Jahangir Iryami
• Is Medical Arts P.C.

• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.

Verify at the official NPI Registry.