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MARK MEDICAL CARE QUEENS PLLC
NPI 1174083828
Radiology - Vascular & Interventional Radiology in Woodside, NY

Active since March 20, 2019CLIA Certified · 3 labs
6405 WOODSIDE AVE, WOODSIDE, NY 11377(877) 376-2751(877) 673-8535 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Medical Care Queens Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK MEDICAL CARE QUEENS PLLC (NPI 1174083828) is a healthcare organization registered as a vascular & interventional radiology in Woodside, New York and active in the NPI registry since March 2019. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Ridgewood, and lists Ron Mark, President/owner, as its authorized official.

NPPES Registry Identity

NPI1174083828
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMARK MEDICAL CARE QUEENS PLLC
Location Address6405 WOODSIDE AVEWoodside, NY 11377-3654
Mailing Address6 Annette WayJericho, NY 11753-2836
Phone(877) 376-2751
Fax(877) 673-8535
Organization SubpartNo
Authorized OfficialRon MarkPresident/owner · (631) 574-2060
Enumeration DateMarch 20, 2019
✔ NPI 1174083828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
6405 WOODSIDE AVE, Woodside, NY 11377
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Secondary Practice Location 1

Location 15501 Myrtle AveRidgewood, NY 11385-3550 · Phone (631) 574-2060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2187570

Mark Medical Care PLLC · Freeport, NY
Active · expires Jul 2, 2028
CLIA Number33D2187570
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorRon Y. Mark
Laboratory Phone(631) 574-2060
Laboratory LocationMark Medical Care PLLC385 West Sunrise Hwy, Freeport, NY 11520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2187571

Mark Medical Care PLLC · Ridgewood, NY
Active · expires Jul 2, 2028
CLIA Number33D2187571
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorDr. Ron Y. Mark
Laboratory Phone(631) 574-2060
Laboratory LocationMark Medical Care PLLC55-03 Myrtle Avenue, Ridgewood, NY 11385
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2187572

Mark Medical Care PLLC · Deer Park, NY
Active · expires Jul 2, 2028
CLIA Number33D2187572
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorDr. Ron Y. Mark
Laboratory Phone(631) 574-2060
Laboratory LocationMark Medical Care PLLC2103 Deer Park Avenue 2nd Fl, Deer Park, NY 11729
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2187573

Mark Medical Care PLLC · Woodside, NY
Expired · Jul 2, 2026
CLIA Number33D2187573
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2024
Certificate Expiration DateJuly 2, 2026
Laboratory DirectorDr. Ron Y. Mark
Laboratory Phone(631) 574-2060
Laboratory LocationMark Medical Care PLLC64-05 Woodside Avenue Ste 1, Woodside, NY 11377
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Medical Care Queens PLLC's NPI number?

The NPI number for Mark Medical Care Queens PLLC is 1174083828. It was assigned to this organization in the NPPES registry on March 20, 2019.

Where is Mark Medical Care Queens PLLC located?

Mark Medical Care Queens PLLC is located at 6405 Woodside Ave, Woodside, NY 11377. The listed phone number is (877) 376-2751.

What is Mark Medical Care Queens PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Mark Medical Care Queens PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mark Medical Care Queens PLLC was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.