Mark Mensch, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

000232 Issued in NY

Practice address

630 Mastic Rd Ste 4
Mastic Beach, NY 11951-1020

Phone

(631) 281-3871

NPI assigned

Jul 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1699409367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119550407",
            "telephone_number": "631-375-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MASTIC RD STE 4",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511020",
            "telephone_number": "631-281-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSCH",
        "first_name": "MARK",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "000232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Crystal Matzen, LPN
• Linda McAuliff, R.N.
• Claire McCarthy, RN
• Carolyn McCloskey, REGISTERED NURSE
• Jennifer McCloskey
• Magdaline Mervil, RN, NP
• Marlane Militano
• Patricia Marie Mohn, LMHC
• Gregg L Mond, DMD
• Monique Montgomery, LCSW

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.