NPIMap

Organization Active NPI

Mark E Pruzansky MD PC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1922270883
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
009911 Issued in NY
Legal business name
MARK E PRUZANSKY MD PC
Practice address
975 Park Ave
1B
New York, NY 10028-0323
Phone
(212) 249-8700
Fax
(212) 327-4405
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Ms. Anna Petito, PA/C
Title
Physician Assistant
Phone
(212) 249-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 009911 NY Primary

Addresses

Primary practice location

975 Park Ave
1B
New York, NY 10028-0323

Mailing address

975 Park Ave
1B
New York, NY 10028-0323
Phone (212) 249-8700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1922270883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 PARK AVE",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280323",
            "telephone_number": "212-249-8700",
            "fax_number": "212-327-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 PARK AVE",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280323",
            "telephone_number": "212-249-8700",
            "fax_number": "212-327-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E PRUZANSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "PETITO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "212-249-8700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA/C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "009911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2008; 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.