Kenneth Mark MD PC
NPI 1992982748 · MOHS-Micrographic Surgery Physician · Southampton, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Mark MD PC is a MOHS-Micrographic Surgery Physician organization in Southampton, NY (NPI 1992982748).
Provider details
- NPI number
- 1992982748
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kenneth Mark M.D. PC
- Organization subpart
- Yes
- Authorized official
- Kenneth Mark, Physician(631) 283-0002
- License
- 204164 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 200 Pantigo Pl Ste NEast Hampton, NY 11937-5923Phone: (631) 283-0292
- 155 Spring St Fl 4New York, NY 10012-5208Phone: (631) 283-0292
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Kenneth Mark MD PC's NPI number?
- Kenneth Mark MD PC's National Provider Identifier (NPI) is 1992982748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Mark MD PC?
- Kenneth Mark MD PC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Mark MD PC located?
- Kenneth Mark MD PC's practice location on file with NPPES is 425 County Road 39a Ste 201, Southampton, NY 11968-5246.
- What is Kenneth Mark MD PC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Mark MD PC is (631) 283-0002.
- Does Kenneth Mark MD PC accept Medicare?
- Kenneth Mark MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth Mark MD PC?
- The authorized official listed on Kenneth Mark MD PC's NPPES record is Kenneth Mark, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Mark MD PC's NPI active?
- Yes — Kenneth Mark MD PC's NPI (1992982748) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.