DR. MARK DAVID FAGALA MD
NPI 1629771720
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Q: What is Mark Fagala's NPI number?

The NPI number for Mark Fagala is 1629771720. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Mark Fagala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Fagala was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 27, 2023

242 MASON AVE FL 1, STATEN ISLAND, NY 10305(718) 226-8630 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Mark David Fagala Md NPPES

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

DR. MARK DAVID FAGALA MD (NPI 1629771720) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1629771720

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARK DAVID FAGALACredential: MD

Location Address242 MASON AVE FL 1Staten Island, NY 10305-3408

Mailing Address242 Mason Ave Fl 1Staten Island, NY 10305-3408 · (718) 226-8630

Phone(718) 226-8630

Sole ProprietorYes

Enumeration DateMarch 27, 2023

NPPES CertifiedMarch 25, 2023

✔ NPI 1629771720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

242 MASON AVE FL 1, Staten Island, NY 10305

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Other Providers at the Same Location NPPES

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

NATHAN YEE OTT

Student in an Organized Health Care Education/Training Program

242 MASON AVE FL 1
STATEN ISLAND, NY 10305

Richmond County (718) 226-8630

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 Fagala's NPI number?

The NPI number for Mark Fagala is 1629771720. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Mark Fagala located?

Mark Fagala practices at 242 Mason Ave Fl 1, Staten Island, NY 10305. The listed phone number is (718) 226-8630.

What is Mark Fagala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mark Fagala was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.