Active NPI
Mark A Pearlman, M.D.
- Neonatal-Perinatal Medicine Physician
- Wilkes-Barre, PA
National Provider Identifier
1639200546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD016622E
- Practice address
- 1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3505 - Phone
- (570) 808-8653
- Fax
- (570) 808-8658
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA03449800 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD016622E | PA | Primary |
| Pediatric Sleep Medicine Physician | 2080S0012X | 25MA03449800 | NJ |
Addresses
Primary practice location
1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3505
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000783075 | Medicaid | PA | |
| 2262606 | Medicaid | NJ |
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 |
|---|---|---|---|
| 25MA03449800 | NJ | MD | Neonatal-Perinatal Medicine Physician |
| MD016622E | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Healthcare Solutions, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1639200546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST MOUNTAIN BLVD.",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "187113505",
"telephone_number": "570-808-8653",
"fax_number": "570-808-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA03449800",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD016622E",
"primary": true
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "NJ",
"license": "25MA03449800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000783075",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2262606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes-Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.