Mark Koenig (NPI# 1831252964, PAC ID# 2264693944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831252964 |
| PAC ID by PECOS | 2264693944 |
| Professional Enrollment ID | I20120406000186 |
| Full Name | Mark Koenig |
| Organization Legal Name | CAREMED PRIMARY AND URGENT CARE PC |
| Address |
765 Route 25a Suite 6 Miller Place NY 11764-2649 |
| Phone Number | 63147539002110 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 8224353727 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 765 Route 25a, Suite 6, Miller Place, NY 11764-2649 | 63147539002110 | CAREMED PRIMARY AND URGENT CARE PC |
| Organization Legal Name | CAREMED PRIMARY AND URGENT CARE PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremiah C Edington | Physician Assistant | Caremed Primary and Urgent Care PC | 266 Middle Country Rd, Coram, NY 11727-4425 |
| Pierre G Collin | Internal Medicine | Caremed Primary and Urgent Care PC | 900 Straight Path, West Babylon, NY 11704-3234 |
| William J Bollhofer | Family Medicine | Caremed Primary and Urgent Care PC | 41 Brentwood Rd, Bay Shore, NY 11706-6923 |
| Nileshkumar G Patel | Family Medicine | Caremed Primary and Urgent Care PC | 1 E Roe Blvd, Patchogue, NY 11772-2631 |
| Fazal G Faroqui | Internal Medicine | Caremed Primary and Urgent Care PC | 266 Middle Country Rd, Coram, NY 11727-4425 |
| Altaf A Khan | Internal Medicine | Caremed Primary and Urgent Care PC | 41 Brentwood Rd, Bay Shore, NY 11706-6923 |
| David M Heckler | Family Medicine | Caremed Primary and Urgent Care PC | 266 Middle Country Rd, Coram, NY 11727-4425 |
| Lauren A Misuraca | Nurse Practitioner | Caremed Primary and Urgent Care PC | 900 Straight Path, West Babylon, NY 11704-3234 |
| Jayeshkumar Makavana | Internal Medicine | Caremed Primary and Urgent Care PC | 1 E Roe Blvd, Patchogue, NY 11772-2631 |
| Faiza Ali | Family Medicine | Caremed Primary and Urgent Care PC | 900 Straight Path, West Babylon, NY 11704-3234 |
| Street Address |
765 ROUTE 25A SUITE 6 |
| City | MILLER PLACE |
| State | NY |
| Zip | 11764-2649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter James Stumpf | Chiropractic | 765 Route 25a, Suite 2, Miller Place, NY 11764-2649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Modesto | Optometry | 385 Route 25a 6, Miller Place, NY 11764 | |
| Dorothy A Quilty | Clinical Social Worker | 6 Griffen Ct, Miller Place, NY 11764-1431 | |
| Craig J Chamberlain | Chiropractic | 54 N Country Rd, Suite 4, Miller Place, NY 11764-1446 | |
| James V Masone | Chiropractic | 29 Miller Woods Dr, Masone Specific Chiropractic Center, Miller Place, NY 11764-1524 | |
| James Dominick Bruno | Neurology | 5 Alilah Ct, Miller Place, NY 11764-1902 | |
| Donald A Mccrea | Physical Therapy | 41 Echo Ave, Miller Place, NY 11764-2108 | |
| Jennifer J Elsholz | Chiropractic | 85 Echo Ave, Suite 4, Miller Place, NY 11764-2200 | |
| Thomas J Ianniello | Chiropractic | 93 Miller Place Rd, Miller Place, NY 11764-2406 | |
| Walter R Chomicki | Physical Therapy | Fam Physical Therapy of Miller Place PC | 275 Route 25a, Unit 45, Miller Place, NY 11764-2427 |
| Adam Ross August | Physical Therapy | Fam Physical Therapy of Miller Place PC | 275 Route 25a, Unit 45, Miller Place, NY 11764-2427 |
| Find all physicians in zip 11764 | |||
| City | MILLER PLACE |
| Zip Code | 11764 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILLER PLACE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Koenig.
| 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.