Individual provider Active NPI

Mark Tolsma, APN

  • Family Nurse Practitioner
  • Upper Saddle River, NJ
National Provider Identifier
1902588700
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14890200 Issued in NJ
Practice address
2 Park Way
Upper Saddle River, NJ 07458-2345
Phone
(201) 882-7526
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14890200 NJ Primary

Addresses

Primary practice location

2 Park Way
Upper Saddle River, NJ 07458-2345

Mailing address

46 School St
North Haledon, NJ 07508-2529
Phone (551) 697-4209

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824000070 NJ Practitioner - Nurse Practitioner 6204299233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
79.61
Improvement activities
40
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14890200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatch Health Medical PC CurrentSince Aug 2, 2023 Accepting new patients
Monogram Health Professional Services of New Jersey LLC CurrentSince Sep 12, 2024 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

540 State Route 10
Ste 1
Randolph, NJ 07869
Phone (201) 882-7526

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

Interoperability endpoints

  • Direct secure messaging: mark.tolsma.1@22854.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1902588700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SCHOOL ST",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082529",
            "telephone_number": "551-697-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK WAY",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582345",
            "telephone_number": "201-882-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSMA",
        "first_name": "MARK",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14890200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

Verify at the official NPI Registry.