Active NPI
Mark Lee Niemiera, MD
- Cardiovascular Disease Physician
- Perth Amboy, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MAO4370700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LS183 | Other | OXFORD | |
| 0K5093 | Other | HEALTHNET | |
| 1905902-01 | Medicaid | NJ | |
| 77K03 | Other | EMPIRE HEALTHCARE | |
| 241137 | Other | UNITED HEALTHCARE | |
| 4094350 | Other | AETNA US HEALTHCARE | |
| 0105202000 | Other | AMERIHEALTH | |
| 10145 | Other | UNIVERSITY HEALTH PLAN | |
| 0997948 | Other | CIGNA | |
| 060022093 | Other | RAILROAD MEDICARE | |
| 13611 | Other | AMERIGROUP | |
| 455090 | Other | AMERIHEALTH | |
| 28022 | Other | LOCAL 825 FUND | |
| 37769 | Other | AETNA US HEALTHCARE | |
| 68713 | Other | GHI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Hahnemann University College of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 70.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO4370700 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Cardiology Reading Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| Mark L Niemiera MD PC | Cardiovascular Disease | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | 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
- mark.niemiera@direct.hackensackmeridian.org
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Roosevelt Care Center at Old Bridge | 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.
-
- Skilled Nursing Facility
- Old Bridge, NJ
- NPI 1760750053
Adp of the SNF
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Cardiovascular Disease Physician
- Perth Amboy, NJ
- NPI 1598869919
-
- Cardiovascular Disease Physician
- Perth Amboy, NJ
- NPI 1285969063
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.