Mark Gennaro MD PC

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

Legal business name

MARK GENNARO MD PC

Practice address

270 Pulaski Rd
Greenlawn, NY 11740-1605

Phone

(631) 385-7258

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Betz, BS,RVT

Title

Practice Manager

Phone

(631) 385-7258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1861856262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-385-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-385-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GENNARO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-385-7258",
        "authorized_official_credential": "BS,RVT"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lizzo
• Dawn Marie Loshigian, PSYD, LMHC
• Tina J Lyons, RN
• Lindsay Macchia, PH.D.
• Mark Gennaro MD PC
• Rachel McCullough
• McEvilley Forever Young Wellness, LTD.
• Jamie McGuire
• Susan Jean McKenna, RRT
• Shaun McLeod, L.C.S.W.

• Radiologic Technologist in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.