Individual provider Active NPI

Mark Hausdorff, M.D.

  • Anesthesiology Physician
  • Florham Park, NJ
National Provider Identifier
1093876310
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA06468800 Issued in NJ
Practice address
25B Vreeland Rd
Florham Park, NJ 07932-1900
Phone
(973) 660-9334
NPI assigned
Dec 12, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X MA06468800 NJ
Pediatrics Physician 208000000X MA06468800 NJ
Anesthesiology Physician 207L00000X MA06468800 NJ Primary

Addresses

Primary practice location

25B Vreeland Rd
Florham Park, NJ 07932-1900

Mailing address

25B Vreeland Rd
PO Box 0037
Florham Park, NJ 07932-1900

Other identifiers 1

IdentifierTypeStateIssuer
7115105MedicaidNJ

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
I20110412000783 NJ Practitioner - Anesthesiology 6507993409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06468800NJMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Anesthesiology CurrentSince Dec 6, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Aug 31, 2025 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Dec 6, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Aug 31, 2025 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093876310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25B VREELAND RD",
            "address_2": "PO BOX 0037",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B VREELAND RD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321900",
            "telephone_number": "973-660-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSDORFF",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "MA06468800",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA06468800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA06468800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.