MR. MARK WILLIAM HENRY (NPI# 1578502779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578502779 |
| Entity Type | Individual |
| Full Name | MR. MARK WILLIAM HENRY |
| Credential | MS, RPA-C, ATC |
| Practice Address |
205 S Orange Ave C-level #1200 Newark NJ 07103-2785 |
| Practice Telephone | 9739728240 |
| Practice Fax Number | 9739729367 |
| Mailing Telephone | 9739726500 |
| Mailing Fax Number | 9739729367 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | 25MP00331900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1098952 | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363A00000X | Physician Assistant | 015279 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1098952 | 01 | |
| NY | PHYSICIAN ASSISTANT | 015279 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587251 | Mark A Henry | Ophthalmology | 120 Tradepark Dr, Ste A, Somerset, KY 42503-3454 | 2005-12-01 |
| 1275527467 | Mark David Henry | Optometrist | 784 E Main St Ste D, Lancaster, OH 43130-3983 | 2005-09-02 |
| 1760013577 | Mark Henry | Social Worker | 2 Park Ave, Yonkers, NY 10703-3402 | 2020-01-30 |
| 1710335682 | Mark Michael Henry | Pharmacist | 1414 N Division St, Morris, IL 60450-1583 | 2016-06-01 |
| 1629454749 | Mark R Henry | Physical Therapist | 2405 Atherholt Rd, Lynchburg, VA 24501-2184 | 2015-07-31 |
| 1104211333 | Mark Henry | Urology | 31 Village Sq, Chelmsford, MA 01824-2712 | 2015-04-03 |
| 1083953699 | Mark Allan Henry | Counselor | 600 Avant Ave, Clinton, OK 73601-3916 | 2013-02-04 |
| 1841501517 | Mark E Henry | Anesthesiology | Department of Anesthesiology, N2198 Unc Hospitals, Cb#7010, Chapel Hill, NC 27599-7010 | 2010-06-28 |
| 1669618070 | Mark Henry | Counselor | 921 Sw Washington St, Suite 460, Portland, OR 97205-2827 | 2009-01-07 |
| 1184889644 | Mark Alan Henry | Dentist | 2050 Marquette Rd, Suite 300, Peru, IL 61354 | 2008-07-24 |
| Street Address |
205 S ORANGE AVE C-LEVEL #1200 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811935307 | Anupama Nehra | Internal Medicine | 205 S Orange Ave, Newark, NJ 07103-2785 | 2006-06-04 |
| 1669956579 | Abimbola Vivian Olanrewaju | Nurse Practitioner | 205 S Orange Ave, Newark, NJ 07103-2785 | 2018-09-18 |
| 1396108460 | Andrew Carbone | Student in an Organized Health Care Education/Training Program | 205 S Orange Ave, Newark, NJ 07103-2785 | 2016-04-05 |
| 1447621909 | Miriam Enock | Physician Assistant | 205 S Orange Ave, Suite A-1020, Newark, NJ 07103-2785 | 2015-10-09 |
| 1912293283 | John William Neal Vi | Orthopaedic Surgery | 205 S Orange Ave, Newark, NJ 07103-2785 | 2011-06-24 |
| 1235454984 | Michael Mark Vosbikian | Orthopaedic Surgery | 205 S Orange Ave, Newark, NJ 07103-2785 | 2010-04-06 |
| 1235462128 | Nandini Ignatius | Internal Medicine | 205 S Orange Ave, Suite A1115, Newark, NJ 07103-2785 | 2009-09-10 |
| 1558503797 | University Physician Associates of New Jersey, Inc. | Radiology | 205 S Orange Ave, Newark, NJ 07103-2785 | 2009-04-02 |
| 1255588109 | Samhita Chakraborty | Internal Medicine | 205 S Orange Ave, Suite A 1115, Cancer Center, Newark, NJ 07103-2785 | 2008-08-22 |
| 1306877485 | Kathleen S. Beebe | Orthopaedic Surgery | 205 S Orange Ave, C1200, Newark, NJ 07103-2785 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
| Find all providers in NEWARK | ||||
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| 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.