Provider Demographics
NPI:1831617307
Name:KARASIN, MARK (DNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:KARASIN
Suffix:
Gender:M
Credentials:DNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2204
Mailing Address - Country:US
Mailing Address - Phone:908-414-0110
Mailing Address - Fax:
Practice Address - Street 1:14 DIAMOND DR
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-2204
Practice Address - Country:US
Practice Address - Phone:908-414-0110
Practice Address - Fax:908-414-0110
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ0075400363L00000X
NJ26NJ00754400363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner