Mark Gershenbaum, DO, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARK GERSHENBAUM, DO, LLC

Practice address

80 Scenic Dr
Suite 3
Freehold, NJ 07728-5210

Phone

(732) 255-2252

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mark Gershenbaum, MD

Title

Owner

Phone

(732) 255-2252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427190073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR",
            "address_2": "SUITE 3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285210",
            "telephone_number": "732-255-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR",
            "address_2": "SUITE 3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285210",
            "telephone_number": "732-255-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GERSHENBAUM, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERSHENBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-255-2252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marcantuono, OTR/L
• Michele Rose Marczak, APN, FNP-BC
• Danielle Marggraf
• Scott Margolin, PTA
• Dawn Marino-Smith, PTA
• Alexandra Mason Marks
• Caren G. Marks, MD
• Megan Maroney, PHARMD
• Georgia Marrero
• Dora Marshall, DC

• Family Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.