Organization Active NPI

Mark Allen Kemble and Nicolas Palacios Meza Physicians PC

Doing business as Proactive MD Jane Street Capital

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1881524189
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARK ALLEN KEMBLE AND NICOLAS PALACIOS MEZA PHYSICIANS PC
Doing business as
Proactive MD Jane Street Capital
Practice address
250 Vesey St FL 18
New York, NY 10281-1053
Phone
(864) 874-6550
Fax
(844) 749-3684
NPI assigned
May 20, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mark Kemble, MD
Title
Cmo
Phone
(864) 640-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

250 Vesey St FL 18
New York, NY 10281-1053

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone (864) 501-0751

Other names 1

  • Proactive MD Jane Street Capital Doing business as

National Provider Directory

National Provider Directory

Locations

250 Vesey St
Fl 18
New York, NY 10281
Phone (212) 530-2288

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1881524189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VILLA RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153052",
            "telephone_number": "864-501-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 VESEY ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102811053",
            "telephone_number": "864-874-6550",
            "fax_number": "844-749-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ALLEN KEMBLE AND NICOLAS PALACIOS MEZA PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive MD Jane Street Capital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2026; 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.