Organization Active NPI

Mark W Beyer LLC

  • Ophthalmology Physician
  • Mercerville, NJ
National Provider Identifier
1336597871
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MB09428200 Issued in NJ
Legal business name
MARK W BEYER LLC
Practice address
395 Highway 33
Mercerville, NJ 08619-4401
Phone
(609) 981-7183
NPI assigned
May 25, 2016
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Mark W Beyer, D.O.NPI 1396181137
Title
Owner
Phone
(609) 981-7183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MB09428200 NJ Primary

Addresses

Primary practice location

395 Highway 33
Mercerville, NJ 08619-4401

Mailing address

395 Highway 33
Mercerville, NJ 08619-4401
Phone (609) 981-7183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160922001629 NJ Part B Supplier - Clinic/Group Practice 0446547285 Receives reassigned benefits from 2 practitioners
Practice locations: Mercerville, NJ; Millstone Township, NJ
O20161109000304 PA Part B Supplier - Clinic/Group Practice 0446547285 Receives reassigned benefits from 2 practitioners
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

498 Monmouth Rd
Millstone Township, NJ 08510
Phone (609) 259-2221

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1336597871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 HIGHWAY 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-981-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HIGHWAY 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-981-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W BEYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-981-7183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB09428200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.