Organization Active NPI

Mark Lebenthal MD LLC

  • Cardiovascular Disease Physician
  • Martinsville, NJ
National Provider Identifier
1770967770
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA035336 Issued in NJ
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

Updated by the provider on Jul 20, 2015

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
846406MedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.