Individual provider Active NPI

Mark Lee Niemiera, MD

  • Cardiovascular Disease Physician
  • Perth Amboy, NJ
National Provider Identifier
1780788109
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MAO4370700 Issued in NJ
Practice address
613 Amboy Ave
Suite 104
Perth Amboy, NJ 08861-2577
Phone
(732) 442-1441
Fax
(732) 442-7684
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MAO4370700 NJ Primary

Addresses

Primary practice location

613 Amboy Ave
Suite 104
Perth Amboy, NJ 08861-2577

Mailing address

613 Amboy Ave
Suite 104
Perth Amboy, NJ 08861-2577
Phone (732) 442-1441

Other identifiers 15

IdentifierTypeStateIssuer
LS183OtherOXFORD
0K5093OtherHEALTHNET
1905902-01MedicaidNJ
77K03OtherEMPIRE HEALTHCARE
241137OtherUNITED HEALTHCARE
4094350OtherAETNA US HEALTHCARE
0105202000OtherAMERIHEALTH
10145OtherUNIVERSITY HEALTH PLAN
0997948OtherCIGNA
060022093OtherRAILROAD MEDICARE
13611OtherAMERIGROUP
455090OtherAMERIHEALTH
28022OtherLOCAL 825 FUND
37769OtherAETNA US HEALTHCARE
68713OtherGHI

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000253 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901839877 Reassigns benefits to 3 organizations
Practice locations: Perth Amboy, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians
RB Cardiology Reading Associates LLCGroup PAC ID 7113062746, 8 clinicians

Practice addresses (Care Compare)

26 Throckmorton LN
Old Bridge, NJ 08857-2578
Phone (732) 679-9950

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5146

613 Amboy Ave
Perth Amboy, NJ 08861-2645
Phone (732) 442-1441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
70.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO4370700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Cardiology Reading Associates LLC Cardiovascular Disease CurrentSince Jan 1, 1989 Accepting new patients
Mark L Niemiera MD PC Cardiovascular Disease CurrentSince Jan 1, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Jan 1, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

26 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 257-1600

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

613 Amboy Ave
Ste 104
Perth Amboy, NJ 08861
Phone (732) 442-1441

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

Interoperability endpoints

  • Direct secure messaging: mark.niemiera@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Roosevelt Care Center at Old BridgeOld Bridge, NJ, CCN 315509 Skilled nursing facility Adp of the SNF Mar 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1780788109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "address_2": "SUITE 104",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-1441",
            "fax_number": "732-442-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "address_2": "SUITE 104",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-1441",
            "fax_number": "732-442-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIERA",
        "first_name": "MARK",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MAO4370700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "LS183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K5093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905902-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCARE",
            "identifier": "77K03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "241137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "4094350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0105202000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "10145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0997948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060022093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "13611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "455090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825 FUND",
            "identifier": "28022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "37769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "68713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.