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

Mark Rebolos, MD, FACOG

Individual provider Obstetrics & Gynecology Physician · NPI 1255746368

Mark Rebolos, MD, FACOG is an Obstetrics/Gynecology in Flushing, New York. Qualified in 2009, 17 years ago. Practices with St John's Medical Services PC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACOG — Fellow of the American College of Obstetricians and Gynecologists
An obstetrician-gynaecologist admitted as a fellow of ACOG.

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Practice location Address checks out

5645 Main St Dept OF
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 298180 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255746368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACOG
Sole proprietorYes
NPI enumeratedJune 26, 2014
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address5645 Main St, Flushing, NY 11355-5045

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St John'S Medical Services Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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