Active NPI
Mark David Finkelstein, CRT
- Adult Companion
- Phoenix, AZ
National Provider Identifier
1679879647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 00199
- Practice address
- 3615 N 16TH St
Suite 21
Phoenix, AZ 85016-6437 - Phone
- (602) 274-1581
- Fax
- (602) 266-6542
- NPI assigned
- Feb 8, 2011
- Last updated
- Feb 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 00199 | AZ | Primary |
Addresses
Primary practice location
3615 N 16TH St
Suite 21
Phoenix, AZ 85016-6437
Mailing address
3615 N 16TH St
Suite 21
Phoenix, AZ 85016-6437
Phone (602) 274-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449646 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00199 | AZ | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Respiratory Staffers, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1477745362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1679879647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 N 16TH ST",
"address_2": "SUITE 21",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166437",
"telephone_number": "602-274-1581",
"fax_number": "602-266-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 N 16TH ST",
"address_2": "SUITE 21",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166437",
"telephone_number": "602-274-1581",
"fax_number": "602-266-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINKELSTEIN",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "AZ",
"license": "00199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "449646",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.