Mark James Bartiss, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MA55570 Issued in NJ

Practice address

24 Nautilus Dr Ste 5
Manahawkin, NJ 08050-2490

Phone

(609) 978-9002

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2017 through Mar 17, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043432925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NAUTILUS DR STE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502490",
            "telephone_number": "609-978-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NAUTILUS DR STE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502490",
            "telephone_number": "609-978-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTISS",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA55570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Ann Barilla, LPC
• Barnegat Medical Associates P a
• Cristian Javier Barrios, M.D.
• Danielle Barrios, PA-C
• Barron Emergency Physicians LLC
• Drew S Barton, PT, DPT
• Nicole Barton, PT, DPT
• Bartucci Family Chiropractic
• Nicole Bartucci, APN, D.C,
• Eric S. Baskin, DPM

• Legal Medicine in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.