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Mk Healthcare Medical PC

Specialist in Ridgewood, NY · enumerated 2018 · authorized official Paul Ambar, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316426299

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Registry record

Entity type Organization (Type 2)
Legal business name Mk Healthcare Medical PC
Practice address 5629 Metropolitan Ave, Ridgewood, NY, 11385
Phone (718) 418-0300
Fax (718) 418-0301
Enumeration date Aug 10, 2018
Last updated in NPPES Sep 16, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers · License 149503 (NY) Primary

Authorized official

Name Paul Ambar
Title Credentialing Manager
Phone (917) 748-1913

Other identifiers

Identifier Type State Issuer
00825003 Medicaid NY -
149503 Other NY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-09-16. Verify at npiregistry.cms.hhs.gov.
Where is Mk Healthcare Medical PC located?
The practice location on file with NPPES is in Ridgewood, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-16.