NPIMap

Individual provider Active NPI

Mark David Pass, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Manalapan, NJ
National Provider Identifier
1437156288
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA07471500 Issued in NJ
Practice address
100 Craig Rd
Suite 205a
Manalapan, NJ 07726-8787
Phone
(732) 866-9922
Fax
(732) 866-9970
NPI assigned
Jul 7, 2005
Reactivated
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07471500 NJ Primary

Addresses

Primary practice location

100 Craig Rd
Suite 205a
Manalapan, NJ 07726-8787

Mailing address

PO Box 116
Marlboro, NJ 07746-0116
Phone (732) 866-9922

Other identifiers 1

IdentifierTypeStateIssuer
0036447MedicaidNJ

Other names 1

  • Dr. Mark David Pass Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000158 NJ Practitioner - Geriatric MedicinePractitioner - General PracticePractitioner - Internal Medicine 0143296558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Shore Geriatrics IncGroup PAC ID 5597910133, 10 clinicians

Practice addresses (Care Compare)

100 Meridian PL
Howell, NJ 07731-4003
Phone (732) 719-0100

11 History LN
Jackson, NJ 08527-2209
Phone (732) 367-6600

1400 Hwy 70
Lakewood, NJ 08701-5949
Phone (732) 370-0444

15 School Rd E
Suite 2
Marlboro, NJ 07746-2061
Phone (732) 866-9922

1506 Gully Rd
Wall, NJ 07719-4443
Phone (732) 681-1400

160 S Main St
Manor by the Sea
Ocean Grove, NJ 07756-1013
Phone (732) 481-8300

1725 Meridian TRL
Wall Township, NJ 07719-3869
Phone (732) 312-1800

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 775-5500

2600 Allaire Rd
Wall Township, NJ 07719-9568
Phone (732) 282-1700

3 As Main St
Marlboro, NJ 07746-1537
Phone (732) 409-6665

44 Pine St
Tinton Falls, NJ 07753-7710
Phone (732) 918-1960

620 State Route 35
Middletown, NJ 07748-4224
Phone (732) 275-0790

713 N Beers St
The Willows at Holmdel
Holmdel, NJ 07733-1503
Phone (732) 335-4405

734 Newman Springs Rd
Sunrise Assisted Living at Lincroft
Lincroft, NJ 07738-1523
Phone (732) 212-1910

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Geriatrics LLC Geriatric Medicine CurrentSince Jul 1, 2004 Accepting new patients
Jersey Shore Geriatrics Inc Geriatric Medicine CurrentSince Jan 1, 2013 Accepting new patients
On Site Dermatology of New Jersey, LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Dove Hospice Services of New Jersey LLC Past Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046

1400 Route 70
Lakewood, NJ 08701
Phone (732) 270-0444

734 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 212-1910

100 Craig Rd
Ste 205A
Manalapan, NJ 07726
Phone (732) 866-9922

15 School Rd E
Ste 2
Marlboro, NJ 07746
Phone (732) 866-9922

3A S Main St
Marlboro, NJ 07746
Phone (732) 409-6665

89 Avenue At the Cmn
Shrewsbury, NJ 07702
Phone (732) 380-0020

44 Pine St
Tinton Falls, NJ 07753
Phone (732) 918-1960

1725 Meridian Trl
Wall Township, NJ 07719
Phone (732) 312-1692

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

2600 Allaire Rd
Wall Township, NJ 07719
Phone (732) 282-1700

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Ocean Grove LLCOcean Grove, NJ, CCN 315365 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 16, 2023
Mar 16, 2023
Complete Care at Wall LLCWall Township, NJ, CCN 315501 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 16, 2023
Mar 16, 2023
Dove Hospice Services of New Jersey LLCManalapan, NJ, CCN 311590 Hospice Contracted Managing Employee Jan 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1437156288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460116",
            "telephone_number": "732-866-9922",
            "fax_number": "732-866-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD",
            "address_2": "SUITE 205A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268787",
            "telephone_number": "732-866-9922",
            "fax_number": "732-866-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-11-27",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07471500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036447",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "PASS",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.