Active NPI
Mark Pappadakis, D.O.
- Emergency Medicine Physician
- Pennington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB10489800
- Practice address
- 1 Capital Way
Pennington, NJ 08534-2520 - Phone
- (609) 303-4000
- NPI assigned
- May 27, 2016
- Last updated
- Oct 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS022433 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 25MB10489800 | NJ | Primary |
Addresses
Primary practice location
1 Capital Way
Pennington, NJ 08534-2520
Mailing address
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Other practice location 1
1901 1st Ave
New York, NY 10029-7404
Phone (212) 423-5000
Other practice location 2
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (610) 335-7705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10489800 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Multispecialty Group | Single Specialty | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Cep America LLC | Single Specialty | Current | Accepting new patients |
| Cep America LLC | Single Specialty | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Single Specialty | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Single Specialty | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
- mpappadakis2299408@direct.trinity-health.org
Organizations & group practices 8
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.
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
Single Specialty
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1316824667
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
dba Woodbourne Family Practice
- Family Medicine Physician
- Levittown, PA
- NPI 1982910931
Single Specialty
-
dba THMA MG Emergency Physicians Darby
- Emergency Medicine Physician
- Darby, PA
- NPI 1588694111
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regional Medical Center
- General Acute Care Hospital
- Trenton, NJ
- NPI 1275583726
-
dba Capital Health Medical Center - Hopewell
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1548618762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "609-303-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "609-303-4000"
}
],
"practiceLocations": [
{
"address_1": "1901 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297404",
"country_code": "US",
"telephone_number": "212-423-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 Holme Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191522007",
"country_code": "US",
"telephone_number": "610-335-7705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPPADAKIS",
"first_name": "MARK",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS022433",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10489800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.