MKR Medical PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

012651 Issued in NY

Legal business name

MKR MEDICAL PC

Practice address

5 Addison PL
Valley Stream, NY 11580-5913

Phone

(347) 804-9297

NPI assigned

Nov 1, 2014

Organization subpart

No

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

Authorized official

Name

Marc RybsteinNPI 1538393822

Title

President

Phone

(516) 307-9618

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Rybstein, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1538393822
  NPD Authorized official

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1649675604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ADDISON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ADDISON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805913",
            "telephone_number": "347-804-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "RYBSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-307-9618"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "012651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Simon, Inc.
• Joshua Michael Mirsky, LCSW, CCM
• Kiah Mitchell, LPN
• William A Mittler, D.D.S.,M.S.
• Lenke Mizrachi-Florentziu, NP
• Marzena Mleczko, DPM
• Natan Mlenarsky
• Ali Moazen, DPM
• Mobile Dental Anesthesiology of New York PC
• Gerald Mohabir, OTR/L

• Exclusive Provider Organization in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.