MEDICARE: MARK JOSEPH MAGUIRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	342899	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	342899	NY

General Provider Information

NPI Number	:	1629654363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK JOSEPH MAGUIRE

Provider Business Mailing Address
First Line	:	1 GUSTAVE L. LEVY PLACE
Second Line	:	BOX 1264
City	:	NEW YORK
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-241-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE HEALTHY WAY
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572
Country	:	US
Telephone Number	:	212-241-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	05/15/2026

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Directions to “ MARK JOSEPH MAGUIRE ” Practice Location

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