Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ron Mark, MD

Individual provider Diagnostic Radiology Physician · NPI 1013917301

Dr. Ron Mark, MD is a Diagnostic Radiology in Deer Park, New York. Qualified in 1996, 30 years ago. Practices with Community Mobile Ultrasound LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois, New Mexico and New York.

Years since qualifying
30
Licensed in
IL, NM, NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2103 Deer Park Ave
Deer Park, NY 11729-1319
Phone: (631) 574-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 214773 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 36126885 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence TM2010-0634 (NM)

Record details

NPI number1013917301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address2103 Deer Park Ave, Deer Park, NY 11729-1319

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Community Mobile Ultrasound Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations28 on file with Medicare

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