Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark William Henry, MS, RPA-C, ATC

Individual provider Physician Assistant · NPI 1578502779

Mr. Mark William Henry, MS, RPA-C, ATC is a Physician Assistant in Newark, New Jersey. Qualified in 2011, 15 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
15
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

205 S Orange Ave C-Level #1200
Newark, NJ 07103-2785
Phone: (973) 972-8240
Fax: (973) 972-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015279 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 1098952
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00331900 (NJ)

Record details

NPI number1578502779
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RPA-C , ATC
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMarch 9, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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