Mark L Fallick, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA06766600 Issued in NJ

Practice address

2401 E Evesham Rd
Suite F
Voorhees, NJ 08043-9590

Phone

(856) 673-1615

Fax

(856) 424-7621

NPI assigned

Apr 27, 2006

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
• Direct secure messaging: mfallick9700@njurology.direct-ci.com

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Atlanticare Regional Medical Center

  dba ARMC Faculty Practice

  • Internal Medicine Physician
  • Atlantic City, NJ
  • NPI 1568663250
  Medicare reassignment NPD
• Atlanticare Physician Group

  dba AtlantiCare Urgent Care

  • Clinical Social Worker
  • Egg Harbor Township, NJ
  • NPI 1881618494
  NPD
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Regional Medical Center

  dba Atlanticare Commuity Pharmacy - Atlantic City

  • Community/Retail Pharmacy
  • Atlantic City, NJ
  • NPI 1235677378
  NPD
• Atlantic Lithotripsy

  dba Midatlantic Stone Center

  • Lithotripsy Clinic/Center
  • Marlton, NJ
  • NPI 1245285634
  NPD (past)
• Center for Advanced Urology

  • Urology Physician
  • Salem, NJ
  • NPI 1598720443
  NPD (past)
• Urology Consultants PA

  • Urology Physician
  • Belleville, NJ
  • NPI 1609982099
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1245297837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E EVESHAM RD",
            "address_2": "SUITE F",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439590",
            "telephone_number": "856-673-1615",
            "fax_number": "856-424-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E EVESHAM RD",
            "address_2": "SUITE F",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439590",
            "telephone_number": "856-673-1615",
            "fax_number": "856-424-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLICK",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA06766600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7814402",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfallick9700@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "2401 E Evesham Rd",
            "address_2": "Suite F",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose Mary Fair-Covely, D.O.
• Elias Fakhoury, DO
• Victoria L Falat, PT, MPT
• Linda Catherine Falk, OTR/L
• Andrea P Faller, FNBC
• Christina Ann Falzone, OTR/L
• Family Dental Care of South Jersey
• Family Practice Associates of Voorhees, P.C.
• Family Practice Associates of Voorhees, PA
• Family Wellness Counseling Services

• Urology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.