Mark Bruce Spal, D.P.M.,R.PH.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00213800 Issued in NJ

Practice address

23 Springhill Road
Randolph, NJ 07869-4324

Phone

(973) 895-4857

Fax

(973) 933-2030

NPI assigned

Jun 13, 2005

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 2

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

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.67 of 100Reported as individual

Quality

33.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1740284280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SPRINGHILL ROAD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694324",
            "telephone_number": "973-895-4857",
            "fax_number": "973-933-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SPRINGHILL ROAD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694324",
            "telephone_number": "973-895-4857",
            "fax_number": "973-933-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAL",
        "first_name": "MARK",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.,R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00213800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "480025935",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5447704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Smith
• Marilyn Soberano IV, HEMODIALYSIS RN.
• Theresa Sokolowski, O.D.
• Marissa Sosin, CCC-SLP
• Duane G. Sossong, D.O.
• Speak Your Mind, Speech Pathology Servies (Speak Your Mind, LLC)
• Special Homes of New Jersey
• Special Homes of New Jersey, Inc.
• David A Sperling, M.D.
• Kayla E Spiropoulos, MA CCC-SLP

• Podiatrist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.