DR. MARK NISSENBAUM


Address: 1841 Huntingdon Pike, Huntingdon Valley, PA 19006-7712
Phone: 2159473606

DR. MARK NISSENBAUM (NPI# 1326046103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326046103
Entity Type Individual
Full Name DR. MARK NISSENBAUM
Credential MD
Practice Address 1841 Huntingdon Pike
Huntingdon Valley
PA 19006-7712
Mailing Address 1928 Old Huntingdon Pike
Huntingdon Valley
PA 19006-7710
Practice Telephone 2159473606
Practice Fax Number 2159476901
Mailing Telephone 2149474874
Mailing Fax Number 2159476901
Enumeration Date 2005-07-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
MD012063E PA Allopathic & Osteopathic Physicians

Other Providers MARK NISSENBAUM

NPI Name Taxonomy Address Enumeration
1003894502 Mark Bruce Nissenbaum Internal Medicine 3701 Loop Rd, Va Medical Center (679/11), Tuscaloosa, AL 35404-5015 2006-01-04
1902897184 Mark Nissenbaum Oral & Maxillofacial Surgery 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2012 2005-11-04

Office Location

Street Address 1841 HUNTINGDON PIKE
City HUNTINGDON VALLEY
State PA
Zip Code 19006-7712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225242738 Hand Surgical & Rehabilitation Assoc., Inc. Surgery 1841 Huntingdon Pike, Huntingdon Valley, PA 19006-7712 2007-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349209 Nicole Poncia Slp LLC Speech-Language Pathologist 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 2020-06-04
1497248298 Heavenly's Home Care LLC In Home Supportive Care 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 2018-06-07
1740721919 Staton Health LLC In Home Supportive Care 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 2017-03-20
1407204407 Jacqueline Russak-loftus Social Worker 727 Old Welsh Rd, Huntington Valley, PA 19006 2016-05-31
1720490162 Pennsylvania Home Care Assistance Agency, Inc Case Management 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 2014-05-20
1104255603 Javad Mohsenian Psychiatry & Neurology 320 Moreland Road, Huntingdon Valley, PA 19006 2013-11-05
1013270123 Donna Marie Salvucci Psychologist 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 2012-06-22
1962712125 Dentex Dental Mobile, Inc Dentist 3035 Franks Rd, Huntingdon Valley, PA 19006 2010-10-20
1316255938 Superior Ems Ambulance LLC Ambulance 85 C Tomlinson Road, Huntingdon Valley, PA 19006 2010-09-16
1194958777 Leader Ambulance, Inc Ambulance 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 2009-08-28
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508425992 Premier Orthopaedic and Sports Medicine Associates Ltd Orthopaedic Surgery 455 Woodview Rd Ste 205, West Grove, PA 19390-9315 2019-06-10
1811458656 Einstein Practice Plan Inc Orthopaedic Surgery 9880 Bustleton Ave Ste 220, Philadelphia, PA 19115-2143 2019-03-26
1043621261 Ann-marie Plate Orthopaedic Surgery 271 Hummingbird Way, Box 754, Lake Harmony, PA 18624-0754 2014-05-09
1548670755 Jessica Intravia Orthopaedic Surgery 1015 Walnut St Ste 620, Philadelphia, PA 19107 2014-04-28
1609169747 Plastic and Hand Surgery Specialists of North Dallas, P.a. Orthopaedic Surgery 2419 Nicholson Rd, Sewickley, PA 15143-8508 2011-05-23
1386942571 S Talaie Md & Assoc PC Orthopaedic Surgery 305 Brentford Rd, Haverford, PA 19041-1718 2011-03-11
1578874715 Nikolas H. Kazmers Orthopaedic Surgery 3400 Spruce, Philadelphia, PA 19104 2010-06-22
1962722199 Brian Andrew Tinsley Orthopaedic Surgery 301 S 7th Ave Ste 3220, West Reading, PA 19611-1493 2010-06-10
1558565044 Gregg Gabriel Martyak Orthopaedic Surgery 1015 Walnut St Ste 801, Philadelphia, PA 19107-5005 2007-06-11
1831233840 Saied Talaie Orthopaedic Surgery 8 Brookhill Sq S, Sugarloaf, PA 18249-1010 2007-02-16
Find all providers with the same taxonomy

Competitor

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City HUNTINGDON VALLEY
Zip Code 19006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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