Individual provider Active NPI

Mark F Tesser, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1598752867
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
124482 Issued in NY
Practice address
1107 Park Ave
New York, NY 10128-1236
Phone
(212) 996-9600
Fax
(212) 534-7141
NPI assigned
Oct 3, 2005
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 124482 NY Primary

Addresses

Primary practice location

1107 Park Ave
New York, NY 10128-1236

Mailing address

1107 Park Ave
New York, NY 10128-1236
Phone (212) 996-9600

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Radiology Services, P.C. Past Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1598752867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281236",
            "telephone_number": "212-996-9600",
            "fax_number": "212-534-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281236",
            "telephone_number": "212-996-9600",
            "fax_number": "212-534-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSER",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "124482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.