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MARK MEDICAL CARE, PLLC
NPI 1962745398
Specialist in Deer Park, NY

Active since April 04, 2013
2103 DEER PARK AVE STE 200, DEER PARK, NY 11729(631) 574-2060 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2020, Mar 17, 2018, Oct 19, 2017 (3 updates tracked since 2017).

About Mark Medical Care, Pllc NPPES

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

MARK MEDICAL CARE, PLLC (NPI 1962745398) is a healthcare organization registered as a specialist in Deer Park, New York and active in the NPI registry since April 2013. The organization maintains 3 additional practice locations and lists Ron Mark, President, as its authorized official.

NPPES Registry Identity

NPI1962745398
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARK MEDICAL CARE, PLLC
Location Address2103 DEER PARK AVE STE 200Deer Park, NY 11729-1317
Mailing Address6 Annette WayJericho, NY 11753-2836 · (516) 376-5562 · Fax (949) 863-8548
Phone(631) 574-2060
Organization SubpartNo
Authorized OfficialRon MarkPresident · (576) 376-5562
Enumeration DateApril 4, 2013
Last NPPES UpdateOctober 19, 20203 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1962745398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2147731
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.
2103 DEER PARK AVE STE 200, Deer Park, NY 11729
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Secondary Practice Locations 3

Location 1385 W Sunrise HwyFreeport, NY 11520-3120 · Phone (516) 321-4747 · Fax (877) 673-8535
Location 26405 Woodside AveWoodside, NY 11377-3654 · Phone (877) 376-2751 · Fax (877) 673-8535
Location 35503 Myrtle AveRidgewood, NY 11385-3550 · Phone (631) 574-2060

Other Identifiers 1

Medicaid04427969NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Care, PLLC's NPI number?

The NPI number for Mark Medical Care, PLLC is 1962745398. It was assigned to this organization in the NPPES registry on April 4, 2013.

Where is Mark Medical Care, PLLC located?

Mark Medical Care, PLLC is located at 2103 Deer Park Ave Ste 200, Deer Park, NY 11729. The listed phone number is (631) 574-2060.

What is Mark Medical Care, PLLC'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 Medical Care, PLLC was last updated on October 19, 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.