Mark Flyer, MD
Individual provider Active NPI Diagnostic Radiology Physician · East Rockaway, NY
NPI 1932180684 · NPPES record last updated May 5, 2014
Key facts
- NPI
- 1932180684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 183860 (NY)
- Practice address
- 30 Rose Lane
East Rockaway, NY 11518-2129 - Phone
- (216) 255-5700
- Fax
- (216) 255-5701
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Texas a & M University System, HSC, College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maimonides Medical Center - MMC Radiology FPP
Practice addresses (Care Compare)
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6158
Hospital & facility affiliations
- Maimonides Medical Center
- New York Community Hospital of Brooklyn, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050520000734 | NY | Practitioner - Diagnostic Radiology |
0941241848 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183860 | NY | MD | Diagnostic Radiology Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Urgent Care, PLLC | Current |
Accepting new patients | |
| Maimonides Medical Center - MMC Radiology FPP | Diagnostic Radiology | Current |
Accepting new patients |
| Maimonides Faculty Practice Plan | Current |
Accepting new patients | |
| Radiology Imaging Assocates of Brooklyn, PC | Diagnostic Radiology | Past | Accepting new patients |
| Franklin & Seidelmann Inc | Diagnostic Radiology | Past |
Accepting new patients |
Locations
848 49th St
Brooklyn, NY 11220
Phone (718) 375-6000
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
6300 8th Ave
Brooklyn, NY 11220
Phone (718) 765-2600
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 183860 | NY | Yes |
Addresses
Primary practice location
30 Rose Lane
East Rockaway, NY 11518-2129
Mailing address
23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845
Phone (216) 255-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01272935 | Medicaid | NY | |
| 2650760 | Medicaid | OH | |
| 926S71 | Other | NY | EMPIRE BLUE CROSS |
| 34195845111518 | Other | TRICARE NORTH |
Other providers in East Rockaway, NY
- Alexander Farca
- Stephen Feffer
- Anne Finlan
- Casey Fitzsimons
- Kerry Ann Flanagan - Kelly
- Patricia Mary Forte
- Cleve William Frazier
- Marian Frias-Walsh
- Vera A. Gallagher
- Marcia Debra Garel
All providers in East Rockaway, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.