DR. MARK ALAN KOENIG


Address: 765 Route 25a Ste 6, Miller Place, NY 11764-2649
Phone: 6313203200

DR. MARK ALAN KOENIG (NPI# 1831252964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831252964
Entity Type Individual
Full Name DR. MARK ALAN KOENIG
Credential D.O.
Practice Address 765 Route 25a Ste 6
Miller Place
NY 11764-2649
Mailing Address 1 E Roe Blvd
Patchogue
NY 11772-2631
Practice Telephone 6313203200
Practice Fax Number 6313507798
Mailing Telephone 6314753900
Mailing Fax Number 6318668150
Enumeration Date 2006-12-19
Last Update Date 2019-08-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 174687 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01263721 05

Other Providers MARK KOENIG

NPI Name Taxonomy Address Enumeration
1811482797 Mark Koenig Physical Therapist 14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078 2018-06-25
1952756819 Mark Koenig Counselor 2180 Johnson Ave, 2nd Floor, San Luis Obispo, CA 93401-4513 2016-04-28
1376826438 Mark Koenig Pharmacist 3 Freetown Rd, Raymond, NH 03077-2394 2011-09-26
1588841969 Mark Dieter Koenig Emergency Medicine 200 W Arbor Dr, San Diego, CA 92103-9001 2008-01-28
1215073101 Mark Alan Koenig Counselor 742 Massachusetts Ave, Arlington, MA 02474 2007-01-29
1679637193 Mark D Koenig Case Manager/Care Coordinator 2600 W 9th St, Chester, PA 19013-2040 2006-12-20
1770521502 Mark Koenig Internal Medicine 4230 Harding Rd, Suite 330, Nashville, TN 37205 2006-06-03
1033112214 Mark A Koenig Pediatrics 604 Epsilon Dr, Pittsburgh, PA 15238-2808 2005-05-23

Office Location

Street Address 765 ROUTE 25A STE 6
City MILLER PLACE
State NY
Zip Code 11764-2649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689151870 Jjr Lifecare Inc In Home Supportive Care 85 Echo Ave., Suite 5, Miller Place, NY 11764 2018-07-20
1447782172 Xuxin Zhang Dentist 555 Ny-25a, Miller Place, NY 11764 2017-03-31
1679972202 Tara Daniels Social Worker 595-20 Route 25a, Suite 20, Miller Place, NY 11764 2014-08-20
1063858355 Karen Ann Mcnulty Specialist 16 White Birch Circle, Miller Place, NY 11764 2013-05-14
1689918070 Katja Mercado Speech-Language Pathologist 3 Honey Lane, Miller Place, NY 11764 2012-11-26
1447526967 North Isle Chiropractic PC Chiropractor 93 Miller Place Rd., Miller Place, NY 11764 2012-03-29
1235404039 Divine Chiropractic LLC Chiropractor 465 Route 25a, Suite 1, Miller Place, NY 11764 2012-03-13
1124338611 Lisa Aitken Social Worker 15 Memorial Drive, Miller Place, NY 11764 2010-10-18
1659504876 Janet Lynn Karp Speech-Language Pathologist 36 Samuels Path, Miller Place, NY 11764 2009-09-04
1356577589 Marilee Somerville Physical Therapist 36 Sweetgum Ln, Miller Place, NY 11764 2009-06-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114092061 Joseph Michael Venezia Family Medicine 765 Route 25a, Miller Place, NY 11764-2649 2006-11-22
1033176805 Mark David Wasserman Family Medicine 555 Route 25a, Miller Place, NY 11764-2625 2006-04-27
1477822757 Ivy D Chung Family Medicine 765 Route 25a, Miller Place, NY 11764-2649 2011-12-15
1396824306 Mark Wasserman, Md Family Medicine 555 Route 25a, Miller Place, NY 11764-2625 2006-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295558 Mamoon Malik Family Medicine 90 Menands Rd, Albany, NY 12204-1400 2020-11-08
1336749571 Chowdhury Medical PC Family Medicine 155 Alkier St, Brentwood, NY 11717-5129 2020-10-27
1356940084 Rebecca Jean Smouse Family Medicine 1107 Prendergast Ave, Jamestown, NY 14701-3315 2020-10-23
1336748136 Rapha House Calls Family Medicine 2 Fernglade Ct, Chester, NY 10918-2637 2020-10-22
1174122980 Richmond Health Partners Ipa LLC Family Medicine 1161 Victory Blvd, Staten Island, NY 10301-3621 2020-10-22
1730787128 Michael C Secallus Family Medicine 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 2020-10-16
1861099053 Julia Gross Family Health Nurse Practitioner, Pllc Family Medicine 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 2020-10-01
1013523190 Steinway Hope Medical LLC Family Medicine 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 2020-09-23
1538774500 Jenny Brandt Family Medicine 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 2020-09-15
1992319016 Sarah Glaser Family Medicine 30 W 24th St, New York, NY 10010-3207 2020-09-04
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Competitor

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City MILLER PLACE
Zip Code 11764

Improve Information

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Dataset Information

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.

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