NPIMap

Individual provider Active NPI

Mark Neil Nathanson, DPM

  • Podiatrist
  • Closter, NJ
National Provider Identifier
1952441586
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD00221000 Issued in NJ
Practice address
200 Closter Dock Rd
Closter, NJ 07624-1928
Phone
(201) 784-1900
Fax
(201) 784-8785
NPI assigned
Feb 6, 2007
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD00221000 NJ Primary

Addresses

Primary practice location

200 Closter Dock Rd
Closter, NJ 07624-1928

Mailing address

200 Closter Dock Rd
Closter, NJ 07624-1928
Phone (201) 784-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071114000220 NJ Practitioner - PodiatryPractitioner - Orthopedic Surgery 2567550296 Reassigns benefits to 2 organizations
Practice locations: Closter, NJ

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Orthopedic Surgery
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7650 River Rd
Suite 230
North Bergen, NJ 07047-6527
Phone (201) 868-6755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD00221000NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 1, 2023 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jul 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 1, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

795 Franklin Ave
Bldg A
Franklin Lakes, NJ 07417
Phone (201) 639-6620

795 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 639-6620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

999 Route 73 N
Ste 401
Marlton, NJ 08053

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

7650 River Rd
Ste 230
North Bergen, NJ 07047
Phone (201) 224-8831

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: mark.nathanson@direct.hackensackmeridian.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1952441586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241928",
            "telephone_number": "201-784-1900",
            "fax_number": "201-784-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241928",
            "telephone_number": "201-784-1900",
            "fax_number": "201-784-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "MARK",
        "middle_name": "NEIL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD00221000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.