MARK PETER ORTIZ (NPI# 1740796465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740796465 |
| Entity Type | Individual |
| Full Name | MARK PETER ORTIZ |
| Credential | PA-C |
| Practice Address |
5 Medical Dr Port Jefferson Station NY 11776-1601 |
| Practice Telephone | 6313649119 |
| Mailing Telephone | 6313649119 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
021715 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183927 | Mark Richard Ortiz | Optometrist | 1716 University Blvd # G080a, Birmingham, AL 35233-1816 | 2017-06-08 |
| 1659679876 | Mark Andrew Ortiz | Physician Assistant | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2011-03-11 |
| 1952579179 | Mark F Ortiz | Physical Therapy Assistant | 1530 Palisade Ave, Fort Lee, NJ 07024-5471 | 2008-02-11 |
| 1174567671 | Mark Gregory Ortiz | Dentist | 432 W Main St, Clarksburg, WV 26301-2817 | 2006-06-15 |
| Street Address |
5 MEDICAL DR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861434946 | Gerardo Tolentino | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1595 | 2006-06-12 |
| 1427536895 | Casey Lynn Ward | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-07-29 |
| 1659867711 | Adam Dalzell | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-07-02 |
| 1639677271 | Robert Vincent Honor | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2018-01-29 |
| 1417329723 | Sabrina Livoti | Physician Assistant | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2015-10-26 |
| 1487046058 | New Wave Neurology PC | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2015-02-19 |
| 1316335540 | North Suffolk Neurology, PC | Clinic/Center | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2014-12-22 |
| 1164617544 | Warren Daniel Spinner | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2007-09-10 |
| 1699852079 | Peter Wigg | Psychologist | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2006-11-01 |
| 1578506051 | Elisa Han | Psychologist | 5 Medical Dr, Port Jefferson Station, NY 11776-1595 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132658 | Suffolk Brain and Nerve, Pllc | Psychiatry & Neurology | 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776-3386 | 2017-09-05 |
| 1487046058 | New Wave Neurology PC | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2015-02-19 |
| 1164617544 | Warren Daniel Spinner | Psychiatry & Neurology | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.