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MARK REYES DE JESUS MS
NPI 1336690494
Specialist in Elmhurst, NY

Active since October 24, 2016
8611 WHITNEY AVE, 3M, ELMHURST, NY 11373(646) 651-3530 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Reyes De Jesus Ms NPPES

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

MARK REYES DE JESUS MS (NPI 1336690494) is an individual specialist in Elmhurst, New York and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1336690494
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK REYES DE JESUSCredential: MS
Location Address8611 WHITNEY AVE, 3MElmhurst, NY 11373-3668
Mailing Address8611 Whitney Avenue, 3mElmhurst, NY 11373-3636 · (646) 651-3530
Phone(646) 651-3530
Sole ProprietorYes
Enumeration DateOctober 24, 2016
✔ NPI 1336690494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
8611 WHITNEY AVE, Elmhurst, NY 11373
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Other Identifiers 1

Other215600411NY · State Id

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 De Jesus's NPI number?

The NPI number for Mark De Jesus is 1336690494. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Mark De Jesus located?

Mark De Jesus practices at 8611 Whitney Ave 3M, Elmhurst, NY 11373. The listed phone number is (646) 651-3530.

What is Mark De Jesus's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark De Jesus was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.