Mark Medical Care Nassau PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

214773 Issued in NY

Legal business name

MARK MEDICAL CARE NASSAU PLLC

Practice address

142 Mineola Ave
Roslyn Heights, NY 11577-2056

Phone

(732) 387-2747

NPI assigned

Aug 10, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ron Mark, M.D.NPI 1013917301

Title

MD

Phone

(732) 387-2747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Mark, M.D.

  • Diagnostic Radiology Physician
  • Deer Park, NY
  • NPI 1013917301
  Medicare reassignment Authorized official
• David J. Axelrod, M.D.

  • Vascular & Interventional Radiology Physician
  • Flushing, NY
  • NPI 1093990681
  NPD
• Harry H Tsou, MD

  • Vascular & Interventional Radiology Physician
  • Long Island City, NY
  • NPI 1598792632
  NPD
• Enrique Alexander Acosta, PA

  • Physician Assistant
  • New York, NY
  • NPI 1346592235
  NPD (past)
• Esteban A Benavides

  • Medical Physician Assistant
  • Woodhaven, NY
  • NPI 1255687570
  NPD (past)
• Paul Bonheim, M.D.

  • Diagnostic Radiology Physician
  • Hauppauge, NY
  • NPI 1235139775
  NPD (past)
• Sarah Colon, PA-C

  • Physician Assistant
  • Maspeth, NY
  • NPI 1215782867
  NPD (past)
• Andrew McCormick Cook, PA-C

  • Medical Physician Assistant
  • Elmhurst, NY
  • NPI 1992267322

  Multi-Specialty

  NPD (past)
• Fabio Deoliveira, PA-C

  • Surgical Physician Assistant
  • Mineola, NY
  • NPI 1891214391
  NPD (past)
• Monica Alexandra Dos Santos, NP

  • Adult Health Nurse Practitioner
  • Mineola, NY
  • NPI 1346682739
  NPD (past)
• Marianela Fernandez

  • Physician Assistant
  • Jamaica, NY
  • NPI 1063924272
  NPD (past)
• Israel Gonzalez Jr., M.D.

  • Emergency Medicine Physician
  • Huntington, NY
  • NPI 1275824989
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1609252907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANNETTE WAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MINEOLA AVE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772056",
            "telephone_number": "732-387-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MEDICAL CARE NASSAU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-387-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lovihayeem
• Lisa B Lundy, RD,CDN
• M J Meltzer & D G Kassan MD LLP
• Michael Maddalena
• Magna Vision Optometry Care PC (SoHo Optique)
• Helen Mary Marks, M.D.
• Amanda Martin-Squillace, LMSW
• Maria Masciangelo, MS CCC SLP
• Anitha Sara Mathew-Shaji, D.O.
• Cerrill Mathew, RPH

• Specialist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.