Mark Edward Poplawski, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00244300 Issued in NJ

Practice address

555 Lakehurst Rd
Toms River, NJ 08755-8044

Phone

(732) 557-6336

Fax

(732) 557-4103

NPI assigned

Nov 6, 2006

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.71 of 100Reported as individual

Quality

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.poplawski@jsp-nj.direct.office.nextgen.com
• Direct secure messaging: popidoc@jsp.emadirect.md

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.

• Jersey Shore Podiatry ,LLC

  • Podiatrist
  • Toms River, NJ
  • NPI 1497969224
  Medicare reassignment NPD Authorized official
• Jersey Shore Surgery and Vein Center, LLC

  • Vascular Surgery Physician
  • Toms River, NJ
  • NPI 1841349230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1629147624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558044",
            "telephone_number": "732-557-6336",
            "fax_number": "732-557-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558044",
            "telephone_number": "732-557-6336",
            "fax_number": "732-557-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLAWSKI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00244300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED DANGEROUS SUBS",
            "identifier": "BP5759610",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077658",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGI",
            "identifier": "BP9112436",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajit P Ponnambalam, MD
• Anil R Ponnambalam, MD
• Michael Ponticello
• Allan Pontipiedra, A.P.N., C.
• Maria Elma M Pontipiedra, FNP- BC
• Deborah Ann Popplewell, O.D.
• Richard J Poresky, LCSW MSW MPH DHA MA
• Anoop Porwal, MD
• Positional Imaging Associates LLC (Ocean Upright MRI)
• Positive Impact Counseling

• Podiatrist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.