Active NPI
Mark Lebenthal MD LLC
- Cardiovascular Disease Physician
- Martinsville, NJ
National Provider Identifier
1770967770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA035336
- Legal business name
- MARK LEBENTHAL MD LLC
- Practice address
- 1001 Laurel TRL
Martinsville, NJ 08836-2212 - Phone
- (908) 872-2253
- Fax
- (732) 469-8413
- NPI assigned
- Jul 20, 2015
- 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
- Dr. Mark J Lebenthal, M.D.
- Title
- Owner
- Phone
- (908) 872-2253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA035336 | NJ | Primary |
Addresses
Primary practice location
1001 Laurel TRL
Martinsville, NJ 08836-2212
Mailing address
1001 Laurel TRL
Martinsville, NJ 08836-2212
Phone (908) 872-2253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 846406 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1770967770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAUREL TRL",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362212",
"telephone_number": "908-872-2253",
"fax_number": "732-469-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LAUREL TRL",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362212",
"telephone_number": "908-872-2253",
"fax_number": "732-469-8413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK LEBENTHAL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "LEBENTHAL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-872-2253",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA035336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "846406",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.