Active NPI
Mark Preston, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 040237
- Practice address
- 60 Westwood Ave
Ste 200
Waterbury, CT 06708 - Phone
- (203) 574-5501
- Fax
- (203) 596-0912
- NPI assigned
- Oct 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 040237 | CT | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 040237 | CT | Primary |
Addresses
Primary practice location
60 Westwood Ave
Ste 200
Waterbury, CT 06708
Mailing address
60 Westwood Ave
Ste 200
Waterbury, CT 06708
Phone (203) 574-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001402370 | Medicaid | CT |
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
- Obstetrics/Gynecology
- Education
- Columbia University College of Physicians and Surgeons, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 Lyons Ave
Newark, NJ 07112-2016
201 Lyons Ave
Newark, NJ 07112-2027
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (888) 724-7123
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Newark Beth Israel Medical Center
- Trinitas Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040237 | CT | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Trinitas Physicians Practice, LLC | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients |
Locations
240 Williamson St
Ste 305
Elizabeth, NJ 07202
Phone (908) 351-7500
240 Williamson St
Ste 401
Elizabeth, NJ 07202
Phone (908) 282-0500
65 Jefferson Ave
Ste 2
Elizabeth, NJ 07201
Phone (908) 677-5040
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- mpreston260554@epicdirect.rwjbh.org
- mark.preston.1@3830.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Obstetrics & Gynecology Physician
- Newark, NJ
- NPI 1922018514
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1205189941
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1902992274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WESTWOOD AVE",
"address_2": "STE 200",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-574-5501",
"fax_number": "203-596-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WESTWOOD AVE",
"address_2": "STE 200",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-574-5501",
"fax_number": "203-596-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "040237",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "CT",
"license": "040237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001402370",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.