Mark R Feldman MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

127248 Issued in NY

Legal business name

MARK R FELDMAN MD PC

Practice address

192 Pine St
Kingston, NY 12401-4528

Phone

(845) 338-0599

Fax

(845) 338-4266

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark R Feldman, MD

Title

Owner

Phone

(845) 338-0599

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1790055507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PINE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014528",
            "telephone_number": "845-338-0599",
            "fax_number": "845-338-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PINE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014528",
            "telephone_number": "845-338-0599",
            "fax_number": "845-338-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R FELDMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-338-0599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "127248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300001588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "294981",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Mannello, MS CCC SLP
• Kirk Manning, M.A. BCBA
• Lisa A Mannino, LMHC
• Vanessa Lyn Manzi, LMSW
• Gina M Marcellino, OTR/L
• Barry M. Mark, DDS, LAC, CAC
• Marylinn Markarian, MD
• Alexa Markiewicz
• Evan Marks, LAC
• George Patrick Markunas, LCSW

• Specialist in Kingston, NY
• Providers in Kingston, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.