MARK PREZIOSO PHYSICIAN ASSISTANT NPI 1992008825

NPI Information

NPI: 1992008825
Provider Name: MARK PREZIOSO, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
250 S 21ST ST
EASTON, PA
ZIP 18042
Phone: (610) 250-4000
Get Directions

Mark Prezioso, PHYSICIAN ASSISTANT is a medical physician assistant in Easton, PA with 14 years of experience. Mark Prezioso, PHYSICIAN ASSISTANT NPI is 1992008825. 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:

250 S 21ST ST
EASTON, PA
ZIP 18042-851
Phone: (610) 250-4000

The NPI 1992008825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.

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	363A00000X	Physician Assistant		OA002530	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	MA054542	PENNSYLVANIA	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	Other Provider Identifier Issuer
1	OA002530	OTHER	PENNSYLVANIA	OSTEOPATHIC LICENSE NUMBER
2	MA054542	OTHER	PENNSYLVANIA	MEDICAL LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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