DR. MARK FAGELMAN M.D. NPI 1497798896

NPI Information

NPI: 1497798896
Provider Name: DR. MARK FAGELMAN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
11 MEDICAL PARK DR
SUITE 101
POMONA, NY
ZIP 10970
Phone: (845) 354-5800
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DR. Mark Fagelman, M.D. is an urology in Pomona, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Mark Fagelman, M.D. NPI is 1497798896. 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:

11 MEDICAL PARK DR
SUITE 101
POMONA, NY
ZIP 10970-559
Phone: (845) 354-5800
Fax: (845) 354-5966

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.

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
1	208800000X	Urology		102803	NEW YORK	Yes

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
1	00178047	MEDICAID	NEW YORK
2	B17844	MEDICARE UPIN	NEW YORK
3	678791	MEDICARE ID-TYPE UNSPECIFIED	NEW 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: 5/5/2024

NPI Synchronization or Removal

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