Physician Compare National (NPI:1598727547)

HEALTHCARE PROVIDER: MARK JOSEPH TENEROWICZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598727547
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234397597
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120216000437
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TENEROWICZ
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6305749987
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	337
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	199 REEDSDALE RD
	Group Practice or individual's line 1 address
City	MILTON
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021863926
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6173131615
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220060
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y