MARK P HOORNSTRA M.D. NPI 1255498580

NPI Information

  • NPI: 1255498580
  • Provider Name: MARK P HOORNSTRA, M.D.
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • Address: 100 PORT WASHINGTON BLVD
    DEPT. OF EMERENCY MEDICINE
    ROSLYN, NY
    ZIP 11576
  • Phone: (516) 562-6605

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NPI Details

Mark P Hoornstra, M.D. is an emergency medical services emergency medicine in Roslyn, NY. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Mark P Hoornstra, M.D. NPI is 1255498580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 PORT WASHINGTON BLVD
DEPT. OF EMERENCY MEDICINE
ROSLYN, NY
ZIP 11576-353
Phone: (516) 562-6605
Fax: (516) 629-2027

The enumeration date for this NPI number is 1/3/2007 and was last updated on 2/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical Services187340-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115G943MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
201298902MEDICAIDNEW YORK
3B93682MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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