Active NPIIndividual providerSole proprietor

Mr. Mark J Mifsud, OTR

Occupational Therapist, Physical Rehabilitation in Jackson Heights, New York

NPI Number1386978724
Practice location
75-20 Astoria Blvd., Suite 220, Jackson Heights, NY 11370
Fax
—
Last updated
October 1, 2009

Mark Joseph Mifsud is an Occupational Therapist, Physical Rehabilitation based in Jackson Heights, NY. Mark Joseph Mifsud practices in Jackson Heights, NY and has the professional credentials of OTR. The NPI Number for Mark Joseph Mifsud is 1386978724 and holds a License No. 002571 (NY). The current practice location address for Mark Joseph Mifsud is 75-20 Astoria Blvd., Suite 220, Jackson Heights, NY 11370 and can be reached out via phone at 917-647-9458.

Provider Profile Details

NPI Number
1386978724
Provider Name
Mark Joseph Mifsud
Credential
OTR
Provider Entity Type
Individual
Gender
Male
Address
75-20 Astoria Blvd., Suite 220, Jackson Heights, NY 11370
Phone Number
917-647-9458
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2009
Last Update Date
October 1, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
75-20 Astoria Blvd.
Suite 220
Jackson Heights, NY 11370
Zip
11370
Phone Number
917-647-9458
Jackson Heights, NY 11370Get directions →

Provider Business Mailing Address Details

Address
Po Box 1138
Glen Rock, NJ 07452-1138
City
Glen Rock
State
NJ
Zip
07452-1138
Phone Number
917-647-9458

License Information

License Number
002571
License State
NY
Taxonomy
Occupational Therapist, Physical Rehabilitation · 225XP0019X · Primary

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 Mr. Mark J Mifsud, OTR?

The NPI number of Mr. Mark J Mifsud, OTR is 1386978724. It was assigned on October 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark J Mifsud, OTR?

Mr. Mark J Mifsud, OTR is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X), licensed in NY under license number 002571.

Where does Mr. Mark J Mifsud, OTR practice?

The practice location is 75-20 Astoria Blvd., Suite 220, Jackson Heights, NY 11370. The office can be reached at 917-647-9458 (phone).

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 1386978724 directly on the NPPES registry website.

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