Individual provider Active NPI

Mark Fisher, MD

  • Rheumatology Physician
  • Haddon Heights, NJ
National Provider Identifier
1609961937
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MA02906700 Issued in NJ
Practice address
713 Station Ave
Haddon Heights, NJ 08035-1648
Phone
(856) 547-8004
Fax
(856) 547-8377
NPI assigned
Oct 3, 2006
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MA02906700 NJ Primary

Addresses

Primary practice location

713 Station Ave
Haddon Heights, NJ 08035-1648

Mailing address

713 Station Ave
Haddon Heights, NJ 08035-1648
Phone (856) 547-8004

Other identifiers 2

IdentifierTypeStateIssuer
660003036OtherNJRAILROAD MEDICARE
1469509MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000245 NJ Practitioner - Rheumatology 9739117268 Reassigns benefits to 1 organization
Practice locations: Haddon Heights, NJ

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Hahnemann University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trabecular Medical Group, LLCGroup PAC ID 2365842440, 19 clinicians

Practice addresses (Care Compare)

2301 E Evesham Rd
BLDG 800 Suite 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA02906700NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trabecular Medical Group, LLC Rheumatology CurrentSince Apr 1, 2025 Accepting new patients
Mark Fisher MD Facr LLC Rheumatology PastSince Jan 1, 1990 Accepting new patients
Arthritis & Rheumatic Disease Assoc. Rheumatology PastSince Apr 1, 2025 Accepting new patients

Locations

1759 Highway 88
Brick, NJ 08724

314 Chris Gaupp Dr
Ste 103
Galloway, NJ 08205

3635 Quakerbridge Rd
Ste 33
Hamilton, NJ 08619

740 Marne Hwy
Ste 102
Moorestown, NJ 08057
Phone (856) 235-0001

354 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-5460

2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300

2301 E Evesham Rd
Ste 115
Voorhees, NJ 08043
Phone (856) 770-9000

Interoperability endpoints

  • Direct secure messaging: mfisher@arthritis.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1609961937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 STATION AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351648",
            "telephone_number": "856-547-8004",
            "fax_number": "856-547-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 STATION AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351648",
            "telephone_number": "856-547-8004",
            "fax_number": "856-547-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MA02906700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660003036",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.