Mark Stephen Liccini, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MB 07743500 Issued in NJ

Practice address

93 Cooper Rd Ste 100
Voorhees, NJ 08043-4910

Phone

(856) 770-1920

Fax

(856) 770-1925

NPI assigned

Nov 8, 2006

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

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

Specialty

Anesthesiology

Education

Philadelphia College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanticare Regional Medical CenterGroup PAC ID 0648181578, 86 clinicians

Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

South Jersey Gastroenterology, PAGroup PAC ID 5890885586, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Merit-based Incentive Payment System (MIPS)

Final score

79.93 of 100Reported as group

Quality

75.13

Promoting interoperability

100

Improvement activities

40

Cost

57.97

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlanticare Regional Medical Center

  • Anesthesiology Physician
  • Pomona, NJ
  • NPI 1710930102
  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare of New Jersey, P.C.

  • Cardiovascular Disease Physician
  • Robbinsville, NJ
  • NPI 1649636754
  Medicare reassignment Care Compare group
• South Jersey Gastroenterology PA

  • Anesthesiology Physician
  • Voorhees, NJ
  • NPI 1356514335
  Medicare reassignment Care Compare group
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110

  NJ

  Medicare reassignment
• Atlanticare Regional Medical Center

  • Community/Retail Pharmacy
  • Atlantic City, NJ
  • NPI 1235677378
  NPD

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

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1861562779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WIMBLEDON WAY",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532087",
            "telephone_number": "215-205-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 COOPER RD STE 100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434910",
            "telephone_number": "856-770-1920",
            "fax_number": "856-770-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Wimbledon Way",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532087",
            "country_code": "US",
            "telephone_number": "215-205-4231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICCINI",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB 07743500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Joanne Levy, NP
• Christine Lewis
• Emily Lewis
• Rosie Qing Li, MD
• Ronald Librizzi, D.O
• Life Wellness Occupational Therapy
• Daniel Liga
• Joannah Marie Lim, PA-C
• Vicente R Limcaoco, MD
• Yanshi Lin, NP

• Anesthesiology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.