Active NPIIndividual provider

Dr. Mark D Kirschenbaum, MD

Internal Medicine in Ridgewood, New Jersey

NPI Number1144259425
Practice location
104 Chestnut St, Ridgewood, NJ 07450-2502
Fax
201-670-8007
Last updated
January 24, 2011

Mark David Kirschenbaum is an Internal Medicine based in Ridgewood, NJ. Mark David Kirschenbaum practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Mark David Kirschenbaum is 1144259425 and holds a License No. MA04933400 (NJ). The current practice location address for Mark David Kirschenbaum is 104 Chestnut St, Ridgewood, NJ 07450-2502 and can be reached out via phone at 201-670-4664 and via fax at 201-670-8007.

Provider Profile Details

NPI Number
1144259425
Provider Name
Mark David Kirschenbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Chestnut St, Ridgewood, NJ 07450-2502
Phone Number
201-670-4664
Fax Number
201-670-8007
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2006
Last Update Date
January 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Chestnut St
Ridgewood, NJ 07450-2502
Zip
07450-2502
Phone Number
201-670-4664
Fax Number
201-670-8007
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
20 Grand St
3RD Floor
Warwick, NY 10990-1035
City
Warwick
State
NY
Zip
10990-1035
Phone Number
845-987-3952
Fax Number
845-987-5979

License Information

License Number (1)
MA04933400
License State (1)
NJ
License Number (2)
25MA04933400
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary
License Number (3)
155240
License State (3)
NY
Taxonomy (3)
Internal Medicine · 207R00000X
License Number (4)
155240
License State (4)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark D Kirschenbaum, MD?

The NPI number of Dr. Mark D Kirschenbaum, MD is 1144259425. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark D Kirschenbaum, MD?

Dr. Mark D Kirschenbaum, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA04933400.

Where does Dr. Mark D Kirschenbaum, MD practice?

The practice location is 104 Chestnut St, Ridgewood, NJ 07450-2502. The office can be reached at 201-670-4664 (phone) or 201-670-8007 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144259425 directly on the NPPES registry website.

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