Individual provider Active NPI

Mary Monari Sparks, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
National Provider Identifier
1356324263
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
25MA07395200 Issued in NJ
Practice address
2339 Route 70 W FL 2
Cherry Hill, NJ 08002-3315
Phone
(856) 532-9519
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 25MA07395200 NJ Primary

Addresses

Primary practice location

2339 Route 70 W FL 2
Cherry Hill, NJ 08002-3315

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1103 Kings Hwy N
suite 203
Cherry Hill, NJ 08034-1983
Phone (856) 321-1919

Other identifiers 9

IdentifierTypeStateIssuer
000107669OtherNJAMERICHOICE
2265364OtherNJUNITED HEALTHCARE
P3671128OtherNJOXFORD
1174060OtherNJAETNA
1878143OtherNJCIGNA
2118421000OtherNJAMERIHEALTH/KEYSTONE/IBC
42480OtherNJUNIVERSITY HEALTH PLAN
60022541OtherNJHORIZON NJ HEALTH
9105701MedicaidNJ

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
I20060320000704 NJ Practitioner - Internal Medicine 3173530961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

20 S Black Horse Pike
Suite 200
Runnemede, NJ 08078-1901
Phone (856) 962-8840

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Samaritan Healthcare and Hospice Hospice, Mount Laurel, NJ, CCN 311504
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine, PC CurrentSince May 1, 2021 Accepting new patients
Cooper Family Medicine PC CurrentSince May 1, 2021 Accepting new patients
Cooper Physician Offices, PA CurrentSince Jan 2, 2005 Accepting new patients

Locations

1 Federal St
#200
Camden, NJ 08103

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

1103 Kings Hwy N
Ste 203
Cherry Hill, NJ 08034
Phone (856) 321-1919

2339 Route 70 W
Fl 2
Cherry Hill, NJ 08002
Phone (856) 532-9519

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

20 S Black Horse Pike
Ste 200
Runnemede, NJ 08078
Phone (856) 962-8840

Interoperability endpoints

  • Direct secure messaging: mmonarisparks1241@direct.cooperhealth.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1356324263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ROUTE 70 W FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023315",
            "telephone_number": "856-532-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Kings Hwy N",
            "address_2": "suite 203",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341983",
            "country_code": "US",
            "telephone_number": "856-321-1919",
            "fax_number": "856-321-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONARI SPARKS",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA07395200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000107669",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2265364",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3671128",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1174060",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1878143",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2118421000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "42480",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60022541",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9105701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.