Individual provider Active NPI

Mark Benjamin Famador, M.D.

  • Psychiatry Physician
  • Marlton, NJ
National Provider Identifier
1184890436
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08397200 Issued in NJ
Practice address
5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332
Phone
(856) 983-3866
Fax
(856) 985-8148
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD438185 PA
Psychiatry Physician 2084P0800X 25MA08397200 NJ Primary

Addresses

Primary practice location

5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332

Mailing address

5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332
Phone (856) 983-3866

Other practice location 1

218A Sunset Rd Fl 1
Willingboro, NJ 08046-1110
Phone (856) 355-7118

Other practice location 2

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 355-7118

Other practice location 3

175 Madison Ave Fl 6
Mount Holly, NJ 08060-2099
Phone (856) 355-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091012000476 PA Practitioner - Psychiatry 0143366781 Reassigns benefits to 4 organizations
I20130927000263 NJ Practitioner - Psychiatry 0143366781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08397200NJMDPsychiatry Physician
MD438185PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Aug 21, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Apr 1, 2018 Accepting new patients
Yang TMS Center of the Main Line Psychiatry CurrentSince Feb 3, 2024 Accepting new patients
University of Penn-Medical Group Psychiatry CurrentSince Aug 21, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Drexel University CurrentSince Apr 1, 2018 Accepting new patients
Main Line Healthcare Neurology CurrentSince Oct 30, 2023 Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Psychiatry Past Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc Past Accepting new patients
Centra PC PastSince Dec 1, 2024 Accepting new patients
Rowansom Nmi Osteopathic Manipulative Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

175 Madison Ave
Fl 6
Mount Holly, NJ 08060

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

100 Century Pkwy
Ste 350
Mount Laurel, NJ 08054
Phone (856) 482-9000

42 E Laurel Rd
Ste 1700
Stratford, NJ 08084
Phone (856) 482-9000

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

218A Sunset Rd
Fl 1
Willingboro, NJ 08046

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

940 E Haverford Rd
Ste 201B
Bryn Mawr, PA 19010
Phone (610) 520-1128

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

3535 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2816

800 Spruce St
Fl 4
Philadelphia, PA 19107
Phone (215) 829-3474

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

1608 Walnut St
Ste 1700B
Philadelphia, PA 19103
Phone (610) 520-1128

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 14

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.

View all 14

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1184890436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR STE 205",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534332",
            "telephone_number": "856-983-3866",
            "fax_number": "856-985-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR STE 205",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534332",
            "telephone_number": "856-983-3866",
            "fax_number": "856-985-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218A Sunset Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461110",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAMADOR",
        "first_name": "MARK",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD438185",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08397200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.