Active NPI
Mark William Connolly, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA07436900
- Practice address
- 703 Main St
Department of Surgery
Paterson, NJ 07503-2621 - Phone
- (973) 754-2460
- Fax
- (973) 754-2462
- NPI assigned
- Feb 2, 2006
- Last updated
- Sep 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MA07436900 | NJ | Primary |
Addresses
Primary practice location
703 Main St
Department of Surgery
Paterson, NJ 07503-2621
Mailing address
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060268 | Other | NJ | MADICARE ID-TYPE UNSPECIFIED |
| 6504906 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, NE, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 250
Johnson City, NY 13790-2176
Phone (607) 763-6580
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2486
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07436900 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Current | Accepting new patients | |
| St. Joseph Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center - Physicians Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Cathedral Physician Services, P.C. | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Cathedral Cardiac Specialists, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| St. Joseph Medical Group | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Peachtree Cardiovascular Surgeons at Saint Joseph's LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Richmar Medical Associates | Past | Accepting new patients | |
| Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| St Josephs University Medical Center Inc. | Past | Accepting new patients | |
| Peachatree Cardiovascular & Thoracic Surgeons, P.a. | Past | Accepting new patients | |
| Penn State Health Holy Spirit Medical Center | Past | Accepting new patients | |
| Advanced Heart Physicians&Surgeons Network PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
7500 S 91st St
Lincoln, NE 68526
Phone (402) 327-2700
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751
2494 Bernville Rd
Ste 201
Reading, PA 19605
Phone (610) 378-2557
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Organizations & group practices 22
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.
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
dba University Surgical Associates
- Surgery Physician
- Newark, NJ
- NPI 1639189236
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Family Medicine Physician
- Reading, PA
- NPI 1184754657
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1790739993
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Specialist
- Newark, NJ
- NPI 1720032964
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Anesthesiology Physician
- Reading, PA
- NPI 1841680881
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hershey, PA
- NPI 1457325474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1326010612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "DEPARTMENT OF SURGERY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2460",
"fax_number": "973-754-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "MARK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "25MA07436900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MADICARE ID-TYPE UNSPECIFIED",
"identifier": "060268",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6504906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.