DR. MARK SHLOMOVICH M.D.
NPI 1790065910
Pediatrics - Pediatric Critical Care Medicine in Bronx, NY

Active since August 18, 2011PECOS Enrolled
100/100
CMS Quality Rating
3411 WAYNE AVE FL 8, BRONX, NY 10467(718) 741-2037 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Shlomovich M.d. NPPES

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

DR. MARK SHLOMOVICH M.D. (NPI 1790065910) is an individual pediatric critical care medicine provider in Bronx, New York, licensed in New York (267571) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790065910
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MARK SHLOMOVICHCredential: M.D.
Location Address3411 WAYNE AVE FL 8Bronx, NY 10467-2552
Mailing Address826 Meehan AveFar Rockaway, NY 11691-5509
Sole ProprietorNo
Enumeration DateAugust 18, 2011
Last NPPES UpdateOctober 16, 2017
NPI 1790065910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in NY · 267571
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 267571 (NY)
3411 WAYNE AVE FL 8, Bronx, NY 10467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Shlomovich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Pediatrics
3411 WAYNE AVE FL 8
BRONX, NY 10467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790065910, enumerated as an "individual" on August 18, 2011.

The provider is located at 3411 WAYNE AVE FL 8 BRONX, NY 10467 and the phone number is (718) 741-2037.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.