Mark Frederick Buthorn Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

002200 Issued in NY

Practice address

925 Hempstead Tpke
Franklin Square, NY 11010-3641

Phone

(516) 352-4454

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.buthorn@lifqhc.eclinicaldirectplus.com

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.

• Kelly Lucas DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
  • NPI 1629615588
  NPD (past)
• Philip M. Palmeri, DPM, PC

  • Podiatrist
  • Franklin Square, NY
  • NPI 1861511818
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1902997364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE",
            "address_2": "STE 110",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103636",
            "telephone_number": "516-352-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103641",
            "telephone_number": "516-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTHORN",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Vincent Buffa, DMD
• Maggie Kathleen Buondelmonte, PA-C
• Nicole Burke, LMSW
• Burt Gelberg MD PC
• Charles A Buthmann, DDS
• Jill Butter-Romano
• Ailynn Cabasino
• Frederick Bagang Calara, RN, PT
• Melanie Caloger
• Anthony Joseph Calvo, D.D.S.

• All providers in Franklin Square, NY
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.