Active NPI
Mark S. McMahon M.D. PC
- Specialist
- New York, NY
National Provider Identifier
1811260714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MARK S. MCMAHON M.D. PC
- Practice address
- 876 Park Ave
New York, NY 10075-1832 - Phone
- (212) 717-1405
- Fax
- (212) 396-3277
- NPI assigned
- Feb 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Carrero
- Title
- Office Manager/Medical Biller
- Phone
- (212) 717-1405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
876 Park Ave
New York, NY 10075-1832
Mailing address
876 Park Ave
New York, NY 10075-1832
Phone (212) 717-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1750437521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1811260714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751832",
"telephone_number": "212-717-1405",
"fax_number": "212-396-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751832",
"telephone_number": "212-717-1405",
"fax_number": "212-396-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK S. MCMAHON M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "CARRERO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER/MEDICAL BILLER",
"authorized_official_telephone_number": "212-717-1405"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.