Individual provider Active NPI

Benjamin Lee Marder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vineland, NJ
National Provider Identifier
1053706010
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00354300 Issued in NJ
Practice address
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Phone
(856) 690-1616
Fax
(856) 896-6107
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X SC006669 PA
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00354300 NJ Primary

Addresses

Primary practice location

352 S Delsea Dr Unit C
Vineland, NJ 08360-5308

Mailing address

352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Phone (856) 690-1616

Other practice location 1

51 N 39th St
Mab 211
Philadelphia, PA 19104-2640
Phone (908) 489-5610

Other practice location 2

266 Lancaster Ave Ste 200
Malvern, PA 19355-3256
Phone (610) 644-6900

Other practice location 3

92 S State St
Vineland, NJ 08360-4800
Phone (856) 691-1287

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Malvern Health Information Exchange (HIE)
CONNECT URL Vineland Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901000396 NJ Practitioner - Podiatry 6204160823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

352 S Delsea Dr
Unit C
Vineland, NJ 08360-5308
Phone (856) 690-1616

Hospital & facility affiliations

  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00354300NJMDFoot & Ankle Surgery Podiatrist
SC006669PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Jeffrey S Katz DPM PA Multi-Specialty CurrentSince Sep 15, 2020 Accepting new patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

698 Mullica Hill Rd
Ste 150
Mullica Hill, NJ 08062

352 S Delsea Dr
Unit C
Vineland, NJ 08360
Phone 8566901616 ext. 6021

92 S State St
Vineland, NJ 08360
Phone (609) 691-1287

298 S Delsea Dr
Vineland, NJ 08360
Phone (356) 690-1616

Interoperability endpoints

  • Direct secure messaging: bmarder@feet.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1053706010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605308",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605308",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_2": "MAB 211",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "908-489-5610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Lancaster Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193553256",
            "country_code": "US",
            "telephone_number": "610-644-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 S State St",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083604800",
            "country_code": "US",
            "telephone_number": "856-691-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDER",
        "first_name": "BENJAMIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006669",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00354300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Malvern",
            "affiliation": "N",
            "endpointDescription": "Premier Orthopaedic and Sports Medicine",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "266 Lancaster Ave Ste 200",
            "city": "Malvern",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193553256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vineland",
            "affiliation": "N",
            "endpointDescription": "Advanced Foot and Ankle Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "92 S State St",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083604800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.