NPIMap

Individual provider Active NPI

Mark Pecker, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1619064789
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
141023 Issued in NY
Practice address
450 E 69TH St
New York, NY 10021-5676
Phone
(212) 746-2210
NPI assigned
Oct 9, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 141023 NY Primary

Addresses

Primary practice location

450 E 69TH St
New York, NY 10021-5676

Mailing address

450 E 69TH St
New York, NY 10021-5676
Phone (212) 746-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000639 NY Practitioner - Internal MedicinePractitioner - Nephrology 1052440765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

520 E 70TH St
RM St 4
New York, NY 10021-9800
Phone (212) 746-2158

525 E 68TH St
New York, NY 10065-4870
Phone (646) 962-2602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 1, 1984 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 1984 Accepting new patients
Weill Cornell University Medical College Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

424 E 70th St
New York, NY 10021
Phone (646) 962-2605

520 E 70th St
Rm ST4
New York, NY 10021
Phone (212) 746-2150

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#159
New York, NY 10065

525 E 68th St
#4
New York, NY 10065
Phone (212) 746-2150

525 E 68th St
#J314
New York, NY 10065
Phone (212) 746-4158

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mpecker@direct.nyp.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1619064789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215676",
            "telephone_number": "212-746-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215676",
            "telephone_number": "212-746-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKER",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.