Active NPI
Mark Alan Schottenfeld, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Edison, NJ
National Provider Identifier
1538238233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 25MA02668300
- Practice address
- 3 Progress St
Suite 106
Edison, NJ 08820-1180 - Phone
- (908) 222-8858
- Fax
- (908) 222-8857
- NPI assigned
- Nov 7, 2006
- Last updated
- Apr 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 25MA02668300 | NJ | Primary |
Addresses
Primary practice location
3 Progress St
Suite 106
Edison, NJ 08820-1180
Mailing address
3 Progress St
Suite 106
Edison, NJ 08820-1180
Phone (908) 222-8858
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0729253001 | Other | CIGNA | |
| 405774 | Other | KEYSTONE PIN | |
| 2K8027 | Other | HEALTHNET | |
| D01072 | Other | OXFORD | |
| 2335435000 | Other | AMERIHEALTH | |
| 622535 | Other | KEYSTONE | |
| 0090594 | Other | GHI | |
| 200037871 | Other | RR MEDICARE | |
| 2344157 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02668300 | NJ | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Edison, NJ
- NPI 1780845651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1538238233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PROGRESS ST",
"address_2": "SUITE 106",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201180",
"telephone_number": "908-222-8858",
"fax_number": "908-222-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PROGRESS ST",
"address_2": "SUITE 106",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201180",
"telephone_number": "908-222-8858",
"fax_number": "908-222-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOTTENFELD",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NJ",
"license": "25MA02668300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0729253001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PIN",
"identifier": "405774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K8027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "D01072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2335435000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "622535",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0090594",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200037871",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2344157",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.