MARK R FELDMAN MD PC NPI 1790055507

NPI Information

  • NPI: 1790055507
  • Provider Name: MARK R FELDMAN MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 192 PINE ST
    KINGSTON, NY
    ZIP 12401
  • Phone: (845) 338-0599

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NPI Details

MARK R FELDMAN MD PC is a specialist in Kingston, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARK R FELDMAN MD PC NPI is 1790055507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

192 PINE ST
KINGSTON, NY
ZIP 12401-528
Phone: (845) 338-0599
Fax: (845) 338-4266

The provider's authorized official is Mark R Feldman .
The authorized official title is Owner and has the following contact phone number (845) 338-0599.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.

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
1174400000XSpecialist127248NEW 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
1294981OTHERNEW YORKMEDICARE ID-TYPE UNSPECIFIED
2A300001588MEDICARE PINNEW YORK
3A300001588OTHERNEW YORKMEDICARE PTAN
4C07968MEDICARE UPINNEW YORK
500470860MEDICAIDNEW 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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