Active NPI
Jon Owen Marks, M.D.
- Urology Physician
- New York, NY
National Provider Identifier
1972584134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 131493
- Practice address
- 55 E 9TH St
Advanced Urology PC
New York, NY 10003-6311 - Phone
- (212) 673-7300
- Fax
- (212) 777-0097
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 131493 | NY | Primary |
Addresses
Primary practice location
55 E 9TH St
Advanced Urology PC
New York, NY 10003-6311
Mailing address
201 East 19TH Street
New York, NY 10003-2604
Phone (212) 673-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00767735 | 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 |
|---|---|---|---|
| 131493 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- New York, NY
- NPI 1780872424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1972584134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST 19TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032604",
"telephone_number": "212-673-7300",
"fax_number": "212-777-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E 9TH ST",
"address_2": "ADVANCED UROLOGY PC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036311",
"telephone_number": "212-673-7300",
"fax_number": "212-777-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JON",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "131493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00767735",
"state": "NY"
}
],
"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 Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.