MARK H VINE (NPI# 1386668010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386668010 |
| Entity Type | Individual |
| Full Name | MARK H VINE |
| Credential | M.D. |
| Practice Address |
123 Maple Ave Suite 203 Cedarhurst NY 11516-2240 |
| Mailing Address |
137 Fulton Ave Atlantic Beach NY 11509-1312 |
| Practice Telephone | 5165616200 |
| Practice Fax Number | 5165617112 |
| Mailing Telephone | 5165616200 |
| Mailing Fax Number | 5165617112 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 127841 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00382650 | 05 |
| Street Address |
123 MAPLE AVE SUITE 203 |
| City | CEDARHURST |
| State | NY |
| Zip Code | 11516-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840038 | Carl Bertram Friedman | Internal Medicine | 123 Maple Ave, Ste 203, Cedarhurst, NY 11516-2240 | 2005-06-10 |
| 1295235554 | North Shore-lij Cardiovascular Medicine PC | Physician Assistant | 123 Maple Ave, Cedarhurst, NY 11516-2240 | 2018-02-13 |
| 1992243018 | Five Towns Medicine, PC | Specialist | 123 Maple Ave, Suite 202, Cedarhurst, NY 11516-2240 | 2017-02-09 |
| 1275832552 | Five Towns Medicine, P.C. | Internal Medicine | 123 Maple Ave, Suite 202, Cedarhurst, NY 11516-2240 | 2011-03-25 |
| 1831420967 | Marc Jason Ostreicher | Internal Medicine | 123 Maple Ave, Suite 202, Cedarhurst, NY 11516-2240 | 2010-01-29 |
| 1376872374 | Carl B Friedman Mdpc | Internal Medicine | 123 Maple Ave, Suite 203, Cedarhurst, NY 11516-2240 | 2009-12-22 |
| 1326204694 | Jay K. Mehlman, Md, PC | Internal Medicine | 123 Maple Ave, Suite 202, Cedarhurst, NY 11516-2240 | 2008-08-05 |
| 1134388259 | Joshua Theodore Mitgang | Specialist | 123 Maple Ave, Cedarhurst, NY 11516-2240 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
| 1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
| 1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
| 1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
| 1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
| 1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
| 1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
| 1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
| Find all providers in zip 11516 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | CEDARHURST |
| Zip Code | 11516 |
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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.