Active NPI
Mark Joseph Brescia, M.D.
- Specialist
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA05799960
- Practice address
- 1131 Washington St
Hoboken, NJ 07030-5390 - Phone
- (201) 659-7700
- Fax
- (201) 659-7701
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA05799960 | NJ | Primary |
Addresses
Primary practice location
1131 Washington St
Hoboken, NJ 07030-5390
Mailing address
1131 Washington St
Hoboken, NJ 07030-5390
Phone (201) 659-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05713300 | Other | NJ | CDS |
| 25MA05799960 | Other | NJ | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
542 Broadway
Bayonne, NJ 07002-3747
Phone (201) 659-7700
609 Washington St
Hoboken, NJ 07030-4907
Phone (201) 659-7700
Hospital & facility affiliations
- Englewood Hospital and Medical Center
- Hackensack University Medical Center
- Jersey City Medical Center
- Palisades Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05799960 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Physician Partners of Englewood, PC | Past | Accepting new patients | |
| Englewood Hospital and Medical Center | Past | Accepting new patients | |
| Palisades House Physicians, PC | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
Interoperability endpoints
- mark.brescia@direct.hackensackmeridian.org
- mbrescia@direct.hobokenumc.md
- https://fhir4.healow.com/fhir/r4/IHJHBD
- mbrescia236728@direct.englewoodhealth.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- Pulmonary Disease Physician
- North Bergen, NJ
- NPI 1689603227
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1154671501
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154537017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 WASHINGTON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305390",
"telephone_number": "201-659-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 WASHINGTON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305390",
"telephone_number": "201-659-7700",
"fax_number": "201-659-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESCIA",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA05799960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "D05713300",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25MA05799960",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.