MARK PROFESORSKE NP
NPI 1184375693
Nurse Practitioner - Family in Brooklyn, NY

Active since January 17, 2022PECOS Enrolled
3518 AVENUE M, BROOKLYN, NY 11234(917) 744-0018 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Profesorske Np NPPES

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

MARK PROFESORSKE NP (NPI 1184375693) is an individual family provider in Brooklyn, New York, licensed in New York (349108) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184375693
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK PROFESORSKECredential: NP
Location Address3518 AVENUE MBrooklyn, NY 11234-2708
Mailing Address3518 Avenue MBrooklyn, NY 11234-2708
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1184375693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 349108
3518 AVENUE M, Brooklyn, NY 11234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Profesorske Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254718646
PECOS Enrollment IDI20220525000641
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Mark Profesorske reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation Practitioner
2555 NOSTRAND AVE
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 279 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1419 MERMAID AVE
Brooklyn, NY 11224
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
Skilled Nursing Facility
594 ALBANY AVE
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
Emergency Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
Internal Medicine
6122G FRESH POND RD
Middle Village, NY 11379
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Profesorske's NPI number?

The NPI number for Mark Profesorske is 1184375693. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Mark Profesorske located?

Mark Profesorske practices at 3518 Avenue M, Brooklyn, NY 11234. The listed phone number is (917) 744-0018.

What is Mark Profesorske's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mark Profesorske enrolled in Medicare?

Yes. Mark Profesorske is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Profesorske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Profesorske reassigns Medicare benefits to 6 organizations: Ahava Medical And Rehabilitation Center, LLC (Brooklyn, NY), Community Health Initiatives, Inc. (Brooklyn, NY), New York City Health And Hospitals Corporation (Brooklyn, NY), Maimonides Medical Center - Mmc Emergency Physicians Fpp (Brooklyn, NY), Josef Schenker MD PC (Middle Village, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Profesorske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Profesorske was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.