Individual provider Active NPI

Mark Immanuel Auerbach, DPT

  • Physical Therapist
  • Lakehurst, NJ
National Provider Identifier
1235530882
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01575900 Issued in NJ
Practice address
314 Route 70
Lakehurst, NJ 08733-2920
Phone
(848) 257-2478
Fax
(848) 258-2480
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01575900 NJ Primary

Addresses

Primary practice location

314 Route 70
Lakehurst, NJ 08733-2920

Mailing address

314 Route 70
Lakehurst, NJ 08733-2920
Phone (848) 258-2478

Other practice location 1

216 Main St
Toms River, NJ 08753-7438
Phone (732) 349-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001795 NJ Practitioner - Physical Therapist in Private Practice 9537381025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy and Performance CenterGroup PAC ID 8123405289, 2 clinicians

Practice addresses (Care Compare)

314 Route 70
Unit 6
Lakehurst, NJ 08733-2920
Phone (848) 258-2478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01575900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy and Performance Center Physical Therapist CurrentSince Apr 20, 2022 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Sep 12, 2019 Accepting new patients

Locations

314 Route 70
Unit 6
Lakehurst, NJ 08733
Phone (848) 258-2478

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1235530882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ROUTE 70",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087332920",
            "telephone_number": "848-258-2478",
            "fax_number": "848-258-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ROUTE 70",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087332920",
            "telephone_number": "848-257-2478",
            "fax_number": "848-258-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Main St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537438",
            "country_code": "US",
            "telephone_number": "732-349-0218",
            "fax_number": "732-349-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "MARK",
        "middle_name": "IMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01575900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakehurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.