Active NPI
Janet Mark, MD
- General Acute Care Hospital
- Syracuse, NY
National Provider Identifier
1912034554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- A150655-1
- Practice address
- 410 S Crouse Ave
Syracuse, NY 13210-1799 - Phone
- (315) 470-8340
- Fax
- (315) 470-8309
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | A150655-1 | NY | Primary |
Addresses
Primary practice location
410 S Crouse Ave
Syracuse, NY 13210-1799
Mailing address
410 S Crouse Ave
Syracuse, NY 13210-1799
Phone (315) 470-8340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01374854 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150655-1 | NY | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912034554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S CROUSE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101799",
"telephone_number": "315-470-8340",
"fax_number": "315-470-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S CROUSE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101799",
"telephone_number": "315-470-8340",
"fax_number": "315-470-8309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "JANET",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "A150655-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01374854",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.