Individual provider Active NPI

Mark Schilansky, DPM

  • Podiatrist
  • Catskill, NY
National Provider Identifier
1710985189
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003122-1 Issued in NY
Practice address
35 Five Mile Woods Rd
Catskill
Catskill, NY 12414-5913
Phone
(518) 943-6800
Fax
(518) 943-6866
NPI assigned
Jul 11, 2005
Reactivated
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003122-1 NY Primary

Addresses

Primary practice location

35 Five Mile Woods Rd
Catskill
Catskill, NY 12414-5913

Mailing address

35 Five Mile Woods Rd
Catskill
Catskill, NY 12414-5913
Phone (518) 943-6800

Other identifiers 1

IdentifierTypeStateIssuer
00531677MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003122-1NYMDPodiatrist
003122NYMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry HME SVCS Hudson Valley Podiatrist CurrentSince May 13, 2002 Accepting new patients
Mark Schilansky CurrentSince Jan 1, 1990 Accepting new patients

Locations

35 5 Mile Woods Rd
Catskill, NY 12414
Phone (516) 943-6800

71 Prospect Ave
Ste 140
Hudson, NY 12534
Phone (518) 822-1124

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1710985189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FIVE MILE WOODS RD",
            "address_2": "CATSKILL",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145913",
            "telephone_number": "518-943-6800",
            "fax_number": "518-943-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FIVE MILE WOODS RD",
            "address_2": "CATSKILL",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145913",
            "telephone_number": "518-943-6800",
            "fax_number": "518-943-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILANSKY",
        "first_name": "MARK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-12-04",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003122-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.