Mark Nissenbaum (NPI# 1902897184, PAC ID# 0547273989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1902897184 |
| PAC ID by PECOS | 0547273989 |
| Professional Enrollment ID | I20060801000181 |
| Full Name | Mark Nissenbaum |
| Organization Legal Name | JEFFREY C. SACKS DMD MS PC |
| Address |
200 Boylston St Suite 305 Chestnut Hill MA 02467-2008 |
| Phone Number | 6177318888 |
| Gender | M |
| Credential | DDM |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 7517014673 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2008 | 6177318888 | JEFFREY C. SACKS DMD MS PC |
| Organization Legal Name | JEFFREY C. SACKS DMD MS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andras Balint | Maxillofacial Surgery | Jeffrey C. Sacks Dmd Ms PC | 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2008 |
| Jeffrey C Sacks | Maxillofacial Surgery | Jeffrey C. Sacks Dmd Ms PC | 200 Boylston St, Suite 305, Chestnut Hill, MA 02467-2008 |
| Street Address |
200 BOYLSTON ST SUITE 305 |
| City | CHESTNUT HILL |
| State | MA |
| Zip | 02467-2008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evelyn B Marsh | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Lisa B Lampert | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Taryn A Lieberman | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Arnab Saha | Internal Medicine | Medical Care of Boston Management Corporation | 200 Boylston St, Chestnut Hill, MA 02467-2012 |
| Alice Vincent | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Vivian S Hernandez | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Mari Kim Bunnell | Obstetrics/gynecology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Kenneth Hurvitz | Internal Medicine | Medical Care of Boston Management Corporation | 200 Boylston St, Chestnut Hill, MA 02467-2012 |
| Susan T Haden | Endocrinology | New England Ob/gyn Associates,inc | 200 Boylston St, Suite 301, Chestnut Hill, MA 02467-2008 |
| Evan Appelbaum | Internal Medicine | Cavernosa Corporation | 200 Boylston St, Suite A309, Chestnut Hill, MA 02467-2012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilana Adler | Clinical Social Worker | 147 Woodchester Dr, Chestnut Hill, MA 02467-1051 | |
| Stuart Edwin Grassian | Psychiatry | 401 Beacon St, Chestnut Hill, MA 02467-1102 | |
| Lois S Eichler | Psychologist, Clinical | 93 Monadnock Rd, Chestnut Hill, MA 02467-1136 | |
| John F Reichard | Psychiatry | 63 Monadnock Rd, Chestnut Hill, MA 02467-1154 | |
| Gridth U Ablon | Clinical Psychologist | 62 Chestnut Hill Rd, Chestnut Hill, MA 02467-1310 | |
| Elaine R Karnow | Clinical Social Worker | 250 Hammond Pond Pkwy, Apt 813n, Chestnut Hill, MA 02467-1553 | |
| Colleen M Rooney | Nurse Practitioner | Medical Care of Boston Management Corporation | 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1710 |
| Dominic D Pennachio | Internal Medicine | Medical Care of Boston Management Corporation | 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1710 |
| Bradford A Weiner | Internal Medicine | Personalmds, LLC | 25 Boylston St, Suite 312, Chestnut Hill, MA 02467-1710 |
| Rachel A Haims | Internal Medicine | Personalmds, LLC | 25 Boylston St, Suite 312, Chestnut Hill, MA 02467-1710 |
| Find all physicians in zip 02467 | |||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | CHESTNUT HILL + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Mark Nissenbaum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.