Individual provider Active NPI

Mark S Butler, M.D.

  • Orthopaedic Surgery Physician
  • Somerset, NJ
National Provider Identifier
1063417905
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA04683900 Issued in NJ
Practice address
2 Worlds Fair Dr
Somerset, NJ 08873-1369
Phone
(732) 537-0909
Fax
(732) 564-9032
NPI assigned
Jun 16, 2005
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA04683900 NJ Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MA04683900 NJ
Orthopaedic Trauma Physician 207XX0801X 25MA04683900 NJ

Addresses

Primary practice location

2 Worlds Fair Dr
Somerset, NJ 08873-1369

Mailing address

2 Worlds Fair Dr
Somerset, NJ 08873-1369
Phone (732) 537-0909

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000630 NJ Practitioner - Orthopedic Surgery 8628135373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rowan University School of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2 Worlds Fair Dr
University Orthopaedic Associates
Somerset, NJ 08873-1369
Phone (732) 537-0909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04683900NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

2 Worlds Fair Dr
Somerset, NJ 08873
Phone (732) 537-0200

Interoperability endpoints

  • Direct secure messaging: msb@uognj.directmessaging.net

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1063417905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "732-537-0909",
            "fax_number": "732-564-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "732-537-0909",
            "fax_number": "732-564-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04683900",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MA04683900",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MA04683900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.