Mark Anthony Lister, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA04176200 Issued in NJ

Practice address

1 Clara Maass Dr
Belleville, NJ 07109-3550

Phone

(973) 844-1340

Fax

(973) 450-5964

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Eye Physicians and Surgeons of NJ PAGroup PAC ID 5294624953, 9 clinicians

Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metropolitan Hospital Center Hospital, New York, NY, CCN 330199
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mlister@refocus.intellechartdirect.net
• Direct secure messaging: mlister839694@nychhc.direct-ci.com
• Direct secure messaging: mark.lister.1@22072.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Eye Physicians & Surgeons of N.J., P.a.

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1912094079
  Medicare reassignment Care Compare group NPD
• Mark Lister, M.D., PA

  • Ophthalmology Physician
  • Newark, NJ
  • NPI 1003059536
  Medicare reassignment NPD Authorized official
• Refocus Eye Health of NJ, P.C.

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1093316549
  Medicare reassignment Care Compare group NPD
• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment Care Compare group NPD
• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383
  Medicare reassignment NPD
• Ophthalmology Associates of Staten Island PC

  • Specialist
  • Staten Island, NY
  • NPI 1114065281
  Medicare reassignment NPD
• Refocus Eye Health of NJ, P.C.

  • Eyewear Supplier
  • Oakland, NJ
  • NPI 1912867052
  NPD
• Opthalmology Assoc of Statien Island Dba Bridge Opticians

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
  • NPI 1164546610
  NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • New York, NY
  • NPI 1013924372
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1043258353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-844-1340",
            "fax_number": "973-450-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-844-1340",
            "fax_number": "973-450-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04176200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Liloia, DDS
• Elise M. Linden, LCSW
• Angela Lindo, LAC
• Alan Lippman, M.D.
• Iran Elizabeth Lisser
• Julia Leticia Liza
• Elizabeth Llamera, DDS
• Joseph Victor Lobiondo, DPM
• Steven Mark Lomazow, M.D.
• Joyce T. Lopez, PT

• Ophthalmology Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.