Active NPI
Mark Prudente, CRNA
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ15160500
- Practice address
- 1 Cooper PLZ Dept of
Camden, NJ 08103-1461 - Phone
- (856) 342-2425
- NPI assigned
- May 24, 2018
- Last updated
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN589307 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ15160500 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ Dept of
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282
454 Enterprise Dr
Royersford, PA 19468-1200
Phone (610) 495-3330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Cooper Anesthesia Associates, PC | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (609) 325-6505
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1508380452
-
dba Neurosurgery West Reading Tower Health Medical Group
- Neurological Surgery Physician
- West Reading, PA
- NPI 1619272663
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Royersford, PA
- NPI 1265664544
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1326539305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ DEPT OF",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2425"
}
],
"practiceLocations": [
{
"address_1": "51 N 39th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191042640",
"country_code": "US",
"telephone_number": "215-662-8244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUDENTE",
"first_name": "MARK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN589307",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ15160500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.