IndividualActive
Mark De Jesus, MS
NPI 1336690494 · Specialist · Elmhurst, NY
Mark De Jesus, MS is a Specialist provider in Elmhurst, NY (NPI 1336690494).
Provider details
- NPI number
- 1336690494
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8611 Whitney Ave
3m
Elmhurst, NY 11373-3668
Phone: (646) 651-3530
Street-level locationGet directions
Mailing address
8611 Whitney Avenue
Elmhurst, NY 11373-3636
Registry dates
- Enumerated
- 2016-10-24
- Last updated
- 2016-10-24
Frequently asked questions
- What is Mark De Jesus's NPI number?
- Mark De Jesus's National Provider Identifier (NPI) is 1336690494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark De Jesus's specialty?
- Mark De Jesus is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mark De Jesus located?
- Mark De Jesus's practice location on file with NPPES is 8611 Whitney Ave, Elmhurst, NY 11373-3668.
- What is Mark De Jesus's phone number?
- The practice phone number listed in the NPPES registry for Mark De Jesus is (646) 651-3530.
- Is Mark De Jesus's NPI active?
- Yes — Mark De Jesus's NPI (1336690494) is active in the NPPES registry as of the last update on 2016-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.