DR. MARK KIRSCHENBAUM (NPI# 1992004006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992004006 |
| Entity Type | Individual |
| Full Name | DR. MARK KIRSCHENBAUM |
| Credential | D.O. |
| Practice Address |
4406 12th Ave Brooklyn NY 11219-1094 |
| Practice Telephone | 7184384400 |
| Mailing Telephone | 7184384400 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 273521 | NY | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 273521-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2361 Nostrand Ave Ste 101, Brooklyn, NY 112103952 | 7182072526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144259425 | Mark David Kirschenbaum | Internal Medicine | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-06-30 |
| Street Address |
4406 12TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787653 | David Marc Klein | Pediatrics | 4406 12th Ave, Brooklyn, NY 11219-1094 | 2005-08-11 |
| 1962845925 | Miriam Shilian | Physician Assistant | 4406 12th Ave, Brooklyn, NY 11219-1094 | 2013-04-09 |
| 1063629186 | Boro Park Pediatric Associates, Pllc | Pediatrics | 4406 12th Ave, Brooklyn, NY 11219-2077 | 2007-05-17 |
| 1568551836 | Robert Vaiselberg | Physician Assistant | 4406 12th Ave, Brooklyn, NY 11219-1094 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490818 | Bialik Medical Care Pllc | Pediatrics | 144 Mayfair Dr N Fl 1, Brooklyn, NY 11234-6728 | 2019-04-10 |
| 1063983054 | Williamsburg Pediatrics | Pediatrics | 200 Wallabout St Ste 1c, Brooklyn, NY 11206-5561 | 2018-12-17 |
| 1497222137 | Pediatric Care of Newyork PC | Pediatrics | 6805 5th Avenue, Brooklyn, NY 11220-6009 | 2018-10-31 |
| 1316412315 | Zhiyou Zhang Medicine PC | Pediatrics | 8705 19th Ave # 1stf, Brooklyn, NY 11214-3813 | 2018-10-05 |
| 1285141358 | Nie Medical Office PC | Pediatrics | 5508 7th Avenue, 1st Floor, Brooklyn, NY 11220-3508 | 2018-01-10 |
| 1457882276 | Haralambos Damanakis | Pediatrics | 450 Clarkson Ave - Box 49, Brooklyn, NY 11203-2012 | 2017-03-23 |
| 1801327028 | Paul Benjamin King | Pediatrics | 186 Joralemon St Fl 4, Brooklyn, NY 11201-4326 | 2017-03-21 |
| 1205286341 | M Goldis Medical PC | Pediatrics | 103 Quentin Rd Fl 2, Suite D, Brooklyn, NY 11223-1102 | 2016-06-20 |
| 1235599952 | Y. Malina, Md, Faap, P.C. | Pediatrics | 2426 Mermaid Ave Fl 1, Brooklyn, NY 11224-2210 | 2016-02-24 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| Find all providers in BROOKLYN | ||||
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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.