Individual provider Active NPI

Mark Horowitz, MD

  • Urology Physician
  • Flushing, NY
National Provider Identifier
1881689008
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
172766 Issued in NY
Practice address
5645 Main St
W-Ll300
Flushing, NY 11355-5045
Phone
(718) 445-0220
Fax
(718) 939-1167
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 172766 NY Primary
Pediatric Urology Physician 2088P0231X 172766 NY

Addresses

Primary practice location

5645 Main St
W-Ll300
Flushing, NY 11355-5045

Mailing address

5645 Main St
W-Ll300
Flushing, NY 11355-5045
Phone (718) 445-0220

Other identifiers 1

IdentifierTypeStateIssuer
01562707MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001821 NY Practitioner - UrologyPractitioner - Pediatric MedicinePractitioner - Other (Physician) 4981697737 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Pediatric Medicine
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1991 Marcus Ave
Suite 101
New Hyde Park, NY 11042-2058
Phone (516) 365-4949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York University Pediatric Urology CurrentSince Nov 1, 2023 Accepting new patients
Flushing Hospital Medical Center CurrentSince Apr 1, 2021 Accepting new patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Weill Medical College of Cornell Urology Past Accepting new patients
Pediatric Urology Associates of New Jersey, PC Past Accepting new patients

Locations

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

353 Veterans Memorial Hwy
Ste 104
Commack, NY 11725
Phone (631) 486-7515

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

5645 Main St
#300
Flushing, NY 11355
Phone (718) 303-3720

1991 Marcus Ave
Ste 305
New Hyde Park, NY 11042

1991 Marcus Ave
Ste 101
New Hyde Park, NY 11042
Phone (516) 365-3394

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

1534 Victory Blvd
Lowr
Staten Island, NY 10314
Phone (718) 987-3338

500 Seaview Ave
Ste 130
Staten Island, NY 10305
Phone (718) 226-1271

150 White Plains Rd
Ste 306
Tarrytown, NY 10591
Phone (914) 493-8628

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mark.horowitz@pedsurology.eclinicaldirectplus.com
  • Direct secure messaging: mhorowitz67716@northwell.direct-ci.com
  • Direct secure messaging: markhorowitz@mai.allscriptsdirect.net
  • Direct secure messaging: mhorowitz308020@nyumc.direct-ci.com
  • Direct secure messaging: mah2012@direct.nyp.org

Organizations & group practices 8

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1881689008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "W-LL300",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-445-0220",
            "fax_number": "718-939-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "W-LL300",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-445-0220",
            "fax_number": "718-939-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "172766",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "172766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01562707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.