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

Mark Jay Kirchblum, MD

Individual provider Gastroenterology Physician · NPI 1578564316

Mark Jay Kirchblum, MD is a Gastroenterology Physician in Rockville Ctr, New York. Practices as a sole proprietor. Licensed in New York.

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

2000 N Village Ave Ste 211
Rockville Ctr, NY 11570-1078
Phone: (516) 764-1303
Fax: (516) 764-3618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 125940 (NY)

Record details

NPI number1578564316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 2, 2005
Last updated in NPPESJanuary 22, 2010

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