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

Mark Peter Ortiz, PA-C

Individual provider Neurology Physician · NPI 1740796465

Mark Peter Ortiz, PA-C is a Physician Assistant in New Haven, Connecticut. Qualified in 2017, 9 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
9
Licensed in
CT, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 Howard Ave Lowr Level
New Haven, CT 06519-1369
Phone: (203) 785-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 6525 (CT)
Neurology Physician Taxonomy 2084N0400X · Licence 021715 (NY)

Record details

NPI number1740796465
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESApril 19, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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