Individual provider Active NPI

Mark Druck, MD

  • Hematology & Oncology Physician
  • Jersey City, NJ
National Provider Identifier
1124109178
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA037641 Issued in NJ
Practice address
210 Palisade Avenue
Jersey City, NJ 07306
Phone
(201) 963-2213
Fax
(201) 963-7070
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA037641 NJ Primary

Addresses

Primary practice location

210 Palisade Avenue
Jersey City, NJ 07306

Mailing address

210 Palisade Avenue
Jersey City, NJ 07306
Phone (201) 963-2213

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
I20101030000116 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2769571595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

977 Ave C
Bayonne, NJ 07002-3020
Phone (201) 243-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA037641NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC CurrentSince Jan 1, 2025 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Feb 1, 2019 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients

Locations

977 Avenue C
Bayonne, NJ 07002
Phone (201) 243-1500

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 963-7000

210 Palisade Ave
Jersey City, NJ 07306
Phone (201) 262-5844

Interoperability endpoints

  • Direct secure messaging: mark.druck@direct.christhospital.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 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1124109178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PALISADE AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-2213",
            "fax_number": "201-963-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PALISADE AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-2213",
            "fax_number": "201-963-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA037641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.