Mark Waynik MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

024277 Issued in CT

Legal business name

MARK WAYNIK MD LLC

Practice address

52 Beach Rd
Suite 104
Fairfield, CT 06824

Phone

(203) 254-2000

Fax

(203) 255-3126

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Mark Waynik, MD

Title

President

Phone

(203) 254-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1548432164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 104",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-254-2000",
            "fax_number": "203-255-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 104",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-254-2000",
            "fax_number": "203-255-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WAYNIK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "WAYNIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-254-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "024277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ann Marchetti, OTR/L
• Fernanda D. Marchi, D.D.S.
• Andrea Rachel Marcus, M.D.
• Mariana Conant, DDS LLC
• Heidi Mariano
• Talar Mariam Markarian
• Sheila Marmion, OTR
• Robert Marotti, PHYSICAL THERAPIST
• Manuel Marquez, FNP
• Mona Hayat Marrash, ATC

• Psychiatry Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.