DR. MARK SCHAEFER (NPI# 1639251002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639251002 |
| Entity Type | Individual |
| Full Name | DR. MARK SCHAEFER |
| Credential | DDS |
| Practice Address |
6053 Fresh Pond Rd Maspeth NY 11378-3541 |
| Practice Telephone | 7184175383 |
| Mailing Telephone | 7184175383 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
035972 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043664022 | Mark David Schaefer | Emergency Medicine | 1233 N 30th St, Billings, MT 59101 | 2016-04-15 |
| 1376863993 | Mark Allen Schaefer | Pharmacist | 12874 Florence Ave, Santa Fe Springs, CA 90670-4540 | 2010-06-04 |
| 1255492724 | Mark Schaefer | Psychologist | 1 Salem Grn, Suite 501, Salem, MA 01970-3724 | 2006-12-12 |
| 1154403673 | Mark Schaefer | Psychologist | 8009 34th Ave S, Suite 1490, Bloomington, MN 55425-1794 | 2006-10-20 |
| 1609987569 | Mark Robert Schaefer | Rehabilitation Counselor | Va Puget Sound Health Care System, 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2006-08-31 |
| 1629052428 | Mark J. Schaefer | Anesthesiology | 8901 W Lincoln Ave, 2nd Fl, West Allis, WI 53227-2409 | 2005-12-05 |
| Street Address |
6053 FRESH POND RD |
| City | MASPETH |
| State | NY |
| Zip Code | 11378-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192690 | Lauren Ballard Dmd, PC | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2019-09-09 |
| 1497257315 | Lauren Ballard | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2018-03-07 |
| 1699854968 | Ann Kimiko Schaefer | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797891 | Damon V Tarantola | Specialist | 65-29 Grand Ave, Maspeth, NY 11378 | 2019-12-17 |
| 1932600525 | Jenna Krauter | Art Therapist | 70-02 54th Ave, Maspeth, NY 11378 | 2018-02-28 |
| 1588162218 | National Med Group, Inc | Durable Medical Equipment & Medical Supplies | 6600 Long Island Expw, Suite # 204, Maspeth, NY 11378 | 2018-01-29 |
| 1114453388 | Designer Optical Center | Technician/Technologist | 8028 Cooper Ave. Suite #6-106, Glendale, NY 11378 | 2017-05-10 |
| 1467992552 | Almaz Botros | Early Intervention Provider Agency | 60-47 55 Street, 2r, Maspeth, NY 11378 | 2017-03-08 |
| 1659816049 | Brynn Faith Dacher | Speech-Language Pathologist | 58-74 57th Street, Walter Reed School-p009q, Maspeth, NY 11378 | 2016-12-21 |
| 1164896734 | Point of Care | Home Health | 6047 59th Dr, Maspeth, NY 11378 | 2015-11-19 |
| 1568831840 | Healthworks Consulting | Home Health | 6047 59th Drive, Maspeth, NY 11378 | 2015-09-17 |
| 1083081301 | Charles E Ogle | Licensed Practical Nurse | 59-22 57th Road, Maspeth, NY 11378 | 2015-08-24 |
| 1992199483 | Tracey Barretto | Occupational Therapist | 52 60 71st Street, Maspeth, NY 11378 | 2015-03-24 |
| Find all providers in zip 11378 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174891063 | Marc Alan Weinstein | Dentist | 6645 Grand Ave, Maspeth, NY 11378-2540 | 2011-12-06 |
| 1215196951 | Andrew R. Insardi | Dentist | 6035 69th St, Maspeth, NY 11378-2930 | 2008-06-07 |
| 1649491549 | Jadwiga Lucyna Piskozub | Dentist | 6915 54th Ave, Maspeth, NY 11378-1723 | 2007-05-01 |
| 1639259492 | Frantisek Vytykac | Dentist | 6230 60th Dr, Maspeth, NY 11378-3524 | 2006-10-16 |
| 1457445223 | Jolanta Zofia Holzmann | Dentist | 68 21 Borden Avenue, Maspeth, NY 11378 | 2006-10-03 |
| 1477577203 | Gerald Leifer | Dentist | 6531 52nd Ave, P-1, Maspeth, NY 11378-1300 | 2006-07-26 |
| 1417932088 | Mark David Lorber | Dentist | 6662 Grand Ave, Maspeth, NY 11378-2531 | 2005-12-07 |
| 1639168537 | Gary Howard Minkowitz | Dentist | 5523 69th St, Maspeth, NY 11378-1806 | 2005-10-14 |
| 1376192690 | Lauren Ballard Dmd, PC | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2019-09-09 |
| 1497257315 | Lauren Ballard | Dentist | 6053 Fresh Pond Rd, Maspeth, NY 11378-3541 | 2018-03-07 |
| Find all providers in MASPETH | ||||
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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.