MARK GENNARO MD PC (NPI# 1831314343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831314343 |
| Entity Type | Organization |
| Organization Name | MARK GENNARO MD PC |
| Practice Address |
270 Pulaski Rd Ste B Greenlawn NY 11740-1605 |
| Practice Telephone | 6313857258 |
| Practice Fax Number | 8777874680 |
| Mailing Telephone | 6313857258 |
| Mailing Fax Number | 8777874680 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | MS. VICTORIA BETZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6313857258 |
| Authorized Official Credential | RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 152 East Main Street, Suite F, Huntington, NY 11743 | 6313857258 | 6314232570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861856262 | Mark Gennaro Md PC | Radiologic Technologist | 270 Pulaski Rd, Greenlawn, NY 11740-1605 | 2016-04-12 |
| Street Address |
270 PULASKI RD STE B |
| City | GREENLAWN |
| State | NY |
| Zip Code | 11740-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457467417 | Mark Gennaro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 270 Pulaski Rd Ste B, Greenlawn, NY 11740-1605 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003396979 | Paula M. Tortorici-scheff | Registered Nurse | 284 Pulaski Road, 2nd Floor, Smith Institute of Urology, Greenlawn, NY 11740 | 2018-08-20 |
| 1760914634 | William Berger | Internal Medicine | Mount Sinai Doctors Long Island, 5 Cuba Hill Road, Greenlawn, NY 11740 | 2017-03-30 |
| 1912332990 | Brittany Conforti | Speech-Language Pathologist | 10 Aster Street, Greenlawn, NY 11740 | 2013-09-09 |
| 1770895609 | Gretchen Alice Eigenbrod | Acupuncturist | 14 Old Hills Ln, Greenlawn, NY 11740 | 2010-07-08 |
| 1043428550 | Roseann Cavallaro | Dentist | 16 Ann St, Greenlawn, NY 11740 | 2007-05-18 |
| 1104893932 | Michael S Buchholtz Md PC | Internal Medicine | 270 Pulaski Road, Suite D, Greenlawn, NY 11740 | 2006-03-01 |
| 1952871592 | Alyssa M Kaiser | Social Worker | 790 Park Ave, Huntington, NY 11740 | 2018-11-27 |
| 1124410634 | Cecilia Griffin Cassidy | Nurse Practitioner | 5 Cuba Hill Rd, Greenlawn, NY 11740 | 2015-02-21 |
| 1558704148 | Adrienne Heather Mandelberger | Obstetrics & Gynecology | 5 Cuba Hill Rd, Greenlawn, NY 11740 | 2013-04-12 |
| 1205151610 | Frank Campise | Pharmacist | 51 Broadway, Greenlawn, NY 11740 | 2010-03-30 |
| Find all providers in zip 11740 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| Find all providers with the same taxonomy | ||||
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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.