Active NPI
Joseph M Newmark MD PC
- Dermatology Physician
- Vestal, NY
National Provider Identifier
1649303074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 147249
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physician Assistant
- Norwich, NY
- NPI 1972636306
-
- Dermatology Physician
- Johnson City, NY
- NPI 1073622239
-
- Family Nurse Practitioner
- Vestal, NY
- NPI 1669539698
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.