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

Mark Evan Pugach, MD

Individual provider Diagnostic Radiology Physician · NPI 1720082647

Mark Evan Pugach, MD is a Diagnostic Radiology in Great Neck, New York. Graduated from Albany Medical College of Union University in 1992, 34 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2005
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

560 Northern Blvd Ste 102
Great Neck, NY 11021-5100
Phone: (516) 504-1600
Fax: (516) 504-6398
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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 193865 (NY)

Record details

NPI number1720082647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address560 Northern Blvd Ste 102, Great Neck, NY 11021-5100

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

Other providers in Great Neck