Active NPI
Mark Berman,MD,PA
- Sports Medicine (Orthopaedic Surgery) Physician
- Hackensack, NJ
National Provider Identifier
1578867917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 25MA04662200
- Legal business name
- MARK BERMAN,MD,PA
- Practice address
- 211 Essex St
Suite 402
Hackensack, NJ 07601-3231 - Phone
- (201) 489-8250
- Fax
- (201) 489-2933
- NPI assigned
- Dec 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Berman, M.D.,P.A.
- Title
- Orthopedic Surgeon
- Phone
- (201) 489-8250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA04662200 | NJ | Primary |
Addresses
Primary practice location
211 Essex St
Suite 402
Hackensack, NJ 07601-3231
Mailing address
211 Essex St
Suite 402
Hackensack, NJ 07601-3231
Phone (201) 489-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0301809 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
920 Main St
Ste 2
Hackensack, NJ 07601
Phone (201) 489-8250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Englewood, NJ
- NPI 1043226012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1578867917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 ESSEX ST",
"address_2": "SUITE 402",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013231",
"telephone_number": "201-489-8250",
"fax_number": "201-489-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 ESSEX ST",
"address_2": "SUITE 402",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013231",
"telephone_number": "201-489-8250",
"fax_number": "201-489-2933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK BERMAN,MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
"authorized_official_telephone_number": "201-489-8250",
"authorized_official_credential": "M.D.,P.A."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA04662200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.