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DR. MARK J IVANICK MD
NPI 1629065198
Internal Medicine - Pulmonary Disease in Elmira, NY

Active since September 30, 2005
600 ROE AVENUE, SUITE 4A, ELMIRA, NY 14905(607) 271-3780(607) 271-3894 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2020, Jun 13, 2016 (2 updates tracked since 2016).

About Dr. Mark J Ivanick Md NPPES

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

DR. MARK J IVANICK MD (NPI 1629065198) is an individual pulmonary disease provider in Elmira, New York, licensed in New York (NY139254-1) and active in the NPI registry since September 2005. He maintains a secondary practice location in Bath.

NPPES Registry Identity

NPI1629065198
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARK J IVANICKCredential: MD
Location Address600 ROE AVENUE, SUITE 4AElmira, NY 14905-1629
Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2050 · Fax (607) 873-1244
Phone(607) 271-3780
Fax(607) 271-3894
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1629065198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · NY139254-1
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 139254 (NY)
600 ROE AVENUE, Elmira, NY 14905
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Secondary Practice Location 1

Location 1226 W Morris StBath, NY 14810-1413 · Phone (607) 776-8700 · Fax (607) 776-3679

Other Identifiers 2

Medicaid001003160PA
Medicaid00650211NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL S. CONJALKA M.D.
Internal Medicine (Hematology & Oncology)
600 ROE AVENUE, FALCK CANCER CENTER
ELMIRA, NY 14905
Chemung County (607) 737-8165
ASSOCIATED ANESTHESIOLOGISTS OF THE FINGER LAKES, L.L.P.
Anesthesiology
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 737-4100
TWIN TIERS ONCOLOGY PLLC
Internal Medicine (Hematology & Oncology)
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 737-8165
PHYSICIAN SERVICES OF THE FINGER LAKES PLLC
Anesthesiology (Pain Medicine)
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 737-4100
HAFSA AFZAAL
Student in an Organized Health Care Education/Training Program
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 481-2620
MS. LOU ANN DIPETTA ANP-C
Nurse Practitioner (Adult Health)
600 ROE AVENUE, SUITE 1G
ELMIRA, NY 14905
Chemung County (607) 795-2820
AMIR SOHAIL
Student in an Organized Health Care Education/Training Program
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 442-1713
MRS. MERLYN JACOB KOSHY PA
Physician Assistant
600 ROE AVENUE
ELMIRA, NY 14905
Chemung County (607) 737-4508

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 Ivanick's NPI number?

The NPI number for Mark Ivanick is 1629065198. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Mark Ivanick located?

Mark Ivanick practices at 600 Roe Avenue Suite 4A, Elmira, NY 14905. The listed phone number is (607) 271-3780.

What is Mark Ivanick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Mark Ivanick was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.