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KENNETH MARK MD PC
NPI 1992982748
Dermatology - MOHS-Micrographic Surgery in Southampton, NY

Active since January 23, 2008
425 COUNTY ROAD 39A STE 201, SOUTHAMPTON, NY 11968(631) 283-0002(631) 283-1932 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Mark Md Pc NPPES

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

KENNETH MARK MD PC (NPI 1992982748) is a healthcare organization registered as a mohs-micrographic surgery in Southampton, New York and active in the NPI registry since January 2008. The organization maintains 2 additional practice locations and lists Kenneth Andre Mark, Physician, as its authorized official.

NPPES Registry Identity

NPI1992982748
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameKENNETH MARK MD PC
Location Address425 COUNTY ROAD 39A STE 201Southampton, NY 11968-5246
Mailing AddressPo Box 175Water Mill, NY 11976-0175 · (631) 283-0002 · Fax (631) 283-1932
Phone(631) 283-0002
Fax(631) 283-1932
Organization SubpartYesParent: Kenneth Mark M.d. Pc
Authorized OfficialKenneth Andre MarkPhysician · (631) 283-0002
Enumeration DateJanuary 23, 2008
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1992982748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NY · 204164
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 204164 (NY)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 204164 (NY)
425 COUNTY ROAD 39A STE 201, Southampton, NY 11968
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Secondary Practice Locations 2

Location 1200 Pantigo Pl Ste NEast Hampton, NY 11937-5923 · Phone (631) 283-0292
Location 2155 Spring St Fl 4New York, NY 10012-5208 · Phone (631) 283-0292

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Kenneth Mark MD PC's NPI number?

The NPI number for Kenneth Mark MD PC is 1992982748. It was assigned to this organization in the NPPES registry on January 23, 2008.

Where is Kenneth Mark MD PC located?

Kenneth Mark MD PC is located at 425 County Road 39A Ste 201, Southampton, NY 11968. The listed phone number is (631) 283-0002.

What is Kenneth Mark MD PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Kenneth Mark MD PC was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.