MARK ANTOSH MD PC
NPI 1184716888
Legal Medicine in East Syracuse, NY

Q: What is Mark Antosh MD PC's NPI number?

The NPI number for Mark Antosh MD PC is 1184716888. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider was formerly known as Yoffa And Antosh Md's PC.

Q: What is Mark Antosh MD PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Antosh MD PC was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 29, 2006CLIA 33D0696761 · Certificate of Compliance

824 FRANKLIN PARK DR, EAST SYRACUSE, NY 13057(315) 432-1048(315) 432-9219 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mark Antosh Md Pc NPPES

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

MARK ANTOSH MD PC (NPI 1184716888), doing business as Yoffa And Antosh Md's Pc, is a healthcare organization registered as a legal medicine in East Syracuse, New York and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 10, 2028 and lists Mark Antosh, President, as its authorized official.

NPPES Registry Identity

NPI1184716888

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameMARK ANTOSH MD PC

Location Address824 FRANKLIN PARK DREast Syracuse, NY 13057-1614

Mailing Address824 Franklin Park DrEast Syracuse, NY 13057-1614 · (315) 432-9202 · Fax (315) 432-9219

Phone(315) 432-1048

Fax(315) 432-9219

Organization SubpartNo

Authorized OfficialMark AntoshPresident · (315) 432-9202

Enumeration DateSeptember 29, 2006

Last NPPES UpdateNovember 13, 2015

✔ NPI 1184716888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in NY · 1061151

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

824 FRANKLIN PARK DR, East Syracuse, NY 13057

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Other Names 1

Former Legal Business NameYoffa And Antosh Md's Pc

Other Identifiers 6

Medicare UPINB80998NY

Medicare ID-Type Unspecified34271CNY

Medicare ID-Type UnspecifiedBB1970NY

Medicaid01420837NY

Medicaid00572349NY

Medicare UPINF57621NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Antosh Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mark Antosh MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mark Antosh, M.D.

Obstetrics/Gynecology

NPI 1295746584

824 FRANKLIN PARK DR
East Syracuse, NY 13057

(315) 432-1048

✔ PECOS✔ Accepts MedicareSame address

Lynn Hickox, NP;CNM

Certified Nurse Midwife (CNM)

NPI 1609871003

824 FRANKLIN PK DR
E Syracuse, NY 13057

(315) 432-1048

✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

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 Compliance 33D0696761

Mark Antosh MD PC · East Syracuse, NY

Active · expires Apr 10, 2028

CLIA Number33D0696761

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorDr. Mark Antosh

Laboratory Phone(315) 432-1048

Laboratory LocationMark Antosh MD PC824 Franklin Park Drive, East Syracuse, NY 13057

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Antosh MD PC's NPI number?

The NPI number for Mark Antosh MD PC is 1184716888. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider was formerly known as Yoffa And Antosh Md's PC.

Where is Mark Antosh MD PC located?

Mark Antosh MD PC is located at 824 Franklin Park Dr, East Syracuse, NY 13057. The listed phone number is (315) 432-1048.

What is Mark Antosh MD PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Mark Antosh MD PC enrolled in Medicare?

Yes. Mark Antosh MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark Antosh MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mark Antosh MD PC, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mark Antosh MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0696761) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark Antosh MD PC was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.