Active NPI
Mark Allen Korsten, MD
- Gastroenterology Physician
- Bronx, NY
National Provider Identifier
1942313358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 109515
- Practice address
- 130 W. Kingsbridge Road
James J. Peters VA Medical Center
Bronx, NY 10468 - Phone
- (718) 584-9000
- Fax
- (718) 741-4233
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 109515 | NY | Primary |
Addresses
Primary practice location
130 W. Kingsbridge Road
James J. Peters VA Medical Center
Bronx, NY 10468
Mailing address
130 W. Kingsbridge Road
James J. Peters VA Medical Center
Bronx, NY 10468
Phone (718) 584-9000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109515 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942313358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W. KINGSBRIDGE ROAD",
"address_2": "JAMES J. PETERS VA MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10468",
"telephone_number": "718-584-9000",
"fax_number": "718-741-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W. KINGSBRIDGE ROAD",
"address_2": "JAMES J. PETERS VA MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10468",
"telephone_number": "718-584-9000",
"fax_number": "718-741-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORSTEN",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "109515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, 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.