Active NPIIndividual provider

Dr. Mark Fagelman, MD

Urology in Pomona, New York

NPI Number1497798896
Practice location
11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559
Fax
845-354-5966
Last updated
July 13, 2026

Mark Fagelman is an Urology based in Pomona, NY. Mark Fagelman practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Mark Fagelman is 1497798896 and holds a License No. 102803 (NY). The current practice location address for Mark Fagelman is 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559 and can be reached out via phone at 845-354-5800 and via fax at 845-354-5966.

Provider Profile Details

NPI Number
1497798896
Provider Name
Mark Fagelman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Medical Park Dr
Suite 101
Pomona, NY 10970-3559
City
Pomona
Zip
10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
11 Medical Park Dr
Suite 101
Pomona, NY 10970-3559
City
Pomona
State
NY
Zip
10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966

License Information

License Number
102803
License State
NY
Taxonomy
Urology · 208800000X · 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 Dr. Mark Fagelman, MD?

The NPI number of Dr. Mark Fagelman, MD is 1497798896. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Fagelman, MD?

Dr. Mark Fagelman, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in NY under license number 102803.

Where does Dr. Mark Fagelman, MD practice?

The practice location is 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559. The office can be reached at 845-354-5800 (phone) or 845-354-5966 (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 1497798896 directly on the NPPES registry website.

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