Organization Active NPI

Joseph M Newmark MD PC

  • Dermatology Physician
  • Vestal, NY
National Provider Identifier
1649303074
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
147249 Issued in NY
Legal business name
JOSEPH M NEWMARK MD PC
Practice address
4104 Vestal Road
Suite 203 Vestal Executive Park
Vestal, NY 13850
Phone
(607) 797-9036
Fax
(607) 798-0601
NPI assigned
Mar 14, 2007
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Marlaina Kishbaugh
Title
Office Coordinator
Phone
(607) 797-9036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 147249 NY Primary

Addresses

Primary practice location

4104 Vestal Road
Suite 203 Vestal Executive Park
Vestal, NY 13850

Mailing address

4104 Vestal Road
Suite 203 Vestal Executive Park
Vestal, NY 13850
Phone (607) 797-9036

National Provider Directory

National Provider Directory

Locations

4104 Vestal Rd
Ste 203
Vestal, NY 13850
Phone (607) 797-9036

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1649303074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 VESTAL ROAD",
            "address_2": "SUITE 203 VESTAL EXECUTIVE PARK",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-797-9036",
            "fax_number": "607-798-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 VESTAL ROAD",
            "address_2": "SUITE 203 VESTAL EXECUTIVE PARK",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-797-9036",
            "fax_number": "607-798-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M NEWMARK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "KISHBAUGH",
        "authorized_official_first_name": "MARLAINA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "607-797-9036"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "147249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.