Mark Elliott Hupart Doctor of Podiatric Medicine LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004686 Issued in NY

Legal business name

MARK ELLIOTT HUPART DOCTOR OF PODIATRIC MEDICINE LLC

Practice address

2123 E 70TH St
Brooklyn, NY 11234-6101

Phone

(917) 704-9704

Fax

(718) 241-5764

NPI assigned

Nov 5, 2010

Last updated

Nov 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Elliott Hupart, D.P.M.NPI 1306911680

Title

President

Phone

(917) 704-9704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Elliott Hupart, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1306911680
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1922309087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 E 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346101",
            "telephone_number": "917-704-9704",
            "fax_number": "718-241-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 E 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346101",
            "telephone_number": "917-704-9704",
            "fax_number": "718-241-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ELLIOTT HUPART DOCTOR OF PODIATRIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "HUPART",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-704-9704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01180363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark B. Lew, MD, LLC (Mark B. Lew, MD, LLC Pediatric Center)
• Mark Braunstein DO PLLC
• Mark D. Debock DDS
• Mark Daco Family Health NP PLLC
• Mark E. Staton Consulting Inc
• Mark Filstein MD PLLC
• Mark Gventer DPM, PC
• Mark H. Krotowski, M.D.,PC
• Mark Khaimov Family Health NP PC
• Mark Kirschenbaum Medical PC

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.