Provider Demographics
NPI:1649599226
Name:MARKETAPI
Entity Type:Organization
Organization Name:MARKETAPI
Other - Org Name:MARKETAPI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-556-1945
Mailing Address - Street 1:54 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:54 4TH AVE
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:432
Practice Address - Zip Code:U
Practice Address - Country:CA
Practice Address - Phone:347-556-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA210681234273Y00000X
305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
No305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08181987OtherMATTPIN