Mark Anthony Testaiuti, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA06223900 Issued in NJ

Practice address

4000 Church Rd
Mount Laurel, NJ 08054-1110

Phone

(856) 222-4444

Fax

(856) 222-0049

NPI assigned

Feb 2, 2006

Last updated

Apr 30, 2026By 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

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

Specialty

Neurosurgery

Education

Hahnemann University College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.testaiuti.1@21449.direct.athenahealth.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.

• Premier Brain and Spine, LLC

  dba Redefine Healthcare

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1922771377
  Medicare reassignment Care Compare group NPD
• Coastal Spine PC

  • Orthopaedic Surgery of the Spine Physician
  • Mount Laurel, NJ
  • NPI 1417985094
  Medicare reassignment NPD
• Fellowship Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
  • NPI 1952623936
  NPD
• Premier Brain and Spine LLC

  dba Redefine Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, NJ
  • NPI 1427944156
  NPD
• CNS Neuromonitoring LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Mount Laurel, NJ
  • NPI 1831371590
  NPD (past)
• Coastalspine Radiology

  dba Fellowship Imaging

  • Magnetic Resonance Imaging Radiologic Technologist
  • Mount Laurel, NJ
  • NPI 1255529343
  NPD (past)
• Orthopedic and Neurosurgical Specialists, LLC

  • Orthopaedic Surgery Physician
  • Haddonfield, NJ
  • NPI 1073524260
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1316919517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Chris Gaupp Dr",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054489",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Heritage Valley Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801764",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-740-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTAIUTI",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA06223900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mark.Testaiuti.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "4000 Church Rd",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greg Matthew Teo, M.D.
• Carl David Tepper, RPH
• Elyse Lynn Tepper, RPH
• Joseph F Termini, MD
• Stephen Michael Testa, M.D.
• Tetra Logistics LLC
• Akriti S Thavanai
• The Cardiology Group, P.a.
• The Children's Hospital of Philadelphia
• The Foot and Ankle Group PC

• Neurological Surgery Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.

Verify at the official NPI Registry.