Individual provider Active NPI

Mark S Andrew, MD

  • Ophthalmology Physician
  • Haddonfield, NJ
National Provider Identifier
1093896771
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42178 Issued in NJ
Practice address
206 Kings Hwy E
Haddonfield, NJ 08033-1905
Phone
(856) 428-1188
NPI assigned
Oct 18, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42178 NJ Primary

Addresses

Primary practice location

206 Kings Hwy E
Haddonfield, NJ 08033-1905

Mailing address

224 Hickory LN
Haddonfield, NJ 08033-3812
Phone (856) 429-7406

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
I20081023000627 NJ Practitioner - Ophthalmology 8729146451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Practice addresses (Care Compare)

100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone (856) 983-1400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42178NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of NJ, P.C. Ophthalmology CurrentSince Aug 21, 2023 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology Current Accepting new patients
Refocus Eye Health of NJ, P.C. CurrentSince Aug 21, 2023 Accepting new patients
Eye Physicians PC Ophthalmology Past Accepting new patients
W Reed Kindermann, M.D. P.a. Ophthalmology PastSince Sep 13, 2016 Accepting new patients

Locations

3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000

1613 Route 38
Lumberton, NJ 08048
Phone (609) 261-3716

100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400

Interoperability endpoints

  • Direct secure messaging: mandrew@refocus.intellechartdirect.net

Organizations & group practices 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1093896771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HICKORY LN",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333812",
            "telephone_number": "856-429-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 KINGS HWY E",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331905",
            "telephone_number": "856-428-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "42178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.