NPIMap

Individual provider Active NPI

Mark J Todt, M.D.

  • Internal Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1477595064
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05466200 Issued in NJ
Practice address
1401 Marlton Pike E Ste 26
Cherry Hill, NJ 08034-2207
Phone
(410) 763-8787
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05466200 NJ Primary

Addresses

Primary practice location

1401 Marlton Pike E Ste 26
Cherry Hill, NJ 08034-2207

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112

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
I20050126000114 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9931159142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990

651 John F Kennedy Way
Willingboro, NJ 08046-1262
Phone (609) 835-2838

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

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
Marc Feingold MD LLC Current Accepting new patients
Cooper Family Medicine, PC CurrentSince Jun 17, 2023 Accepting new patients
Consensus Medical Group LLC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Cooper Family Medicine PC CurrentSince Jun 17, 2023 Accepting new patients

Locations

6 Earlin Ave
Ste 240
Browns Mills, NJ 08015
Phone (609) 303-4560

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1401 Route 70 E
Ste 26
Cherry Hill, NJ 08034
Phone (856) 428-5120

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

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

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

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

3 Brendenwood Dr
Voorhees, NJ 08043
Phone (856) 874-0202

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Interoperability endpoints

  • Direct secure messaging: mtodt5913@direct.cooperhealth.edu

Organizations & group practices 4

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 9

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1477595064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE E STE 26",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "410-763-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODT",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05466200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.