Individual provider Active NPI

Mark Peter Alexander, M.D., MBA

  • Internal Medicine Physician
  • Ventnor City, NJ
National Provider Identifier
1316097223
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08323800 Issued in NJ
Practice address
5301 Wellington Ave
Ventnor City, NJ 08406-1449
Phone
(609) 823-0555
Fax
(609) 823-0330
NPI assigned
Jan 11, 2007
Last updated
May 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-26767 KS
Internal Medicine Physician 207R00000X 112522 MO
Internal Medicine Physician 207R00000X 25MA08323800 NJ Primary

Addresses

Primary practice location

5301 Wellington Ave
Ventnor City, NJ 08406-1449

Mailing address

5301 Wellington Ave
Ventnor City, NJ 08406-1449
Phone (609) 823-0555

Other names 1

  • Dr. Emad Chaffic Charoapeam Former name

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
I20090122000091 NJ Practitioner - Internal Medicine 6901960863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5301 Wellington Ave
Ventnor City, NJ 08406-1449
Phone (609) 823-0555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.03 of 100Reported as individual
Quality
35
Improvement activities
40
Cost
80.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-26767KSMDInternal Medicine Physician
112522MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medamerica Group CurrentSince Jan 1, 2009 Accepting new patients

Locations

5301 Wellington Ave
Ventnor City, NJ 08406
Phone (609) 823-0555

6309 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 822-1144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1316097223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 WELLINGTON AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061449",
            "telephone_number": "609-823-0555",
            "fax_number": "609-823-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WELLINGTON AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061449",
            "telephone_number": "609-823-0555",
            "fax_number": "609-823-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARK",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-26767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "112522",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08323800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMAD",
            "last_name": "CHAROAPEAM",
            "middle_name": "CHAFFIC",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.