Individual provider Active NPI

Mark Fillari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe Township, NJ
National Provider Identifier
1962856583
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00344900 Issued in NJ
Practice address
18 Centre Dr Ste 203
Monroe Township, NJ 08831-1501
Phone
(609) 860-9111
Fax
(609) 860-9311
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00344900 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00344900 NJ Primary

Addresses

Primary practice location

18 Centre Dr Ste 203
Monroe Township, NJ 08831-1501

Mailing address

18 Centre Dr Ste 203
Monroe Township, NJ 08831-1501
Phone (609) 860-9311

Other practice location 1

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 346-7789

Other practice location 2

444 Neptune Blvd Unit 1A
Neptune, NJ 07753-4145
Phone (609) 860-9111

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190801002468 NJ Practitioner - Podiatry 9537495270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Schmierer DPM Podiatrist, LLCGroup PAC ID 7911052733, 4 clinicians

Practice addresses (Care Compare)

18 Centre Dr
Suite 203
Monroe Township, NJ 08831-1501
Phone (609) 860-9111

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue1317
Removal or shaving of skin growth786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00344900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Schmierer DPM Podiatrist LLC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

18 Centre Dr
Ste 203
Monroe Twp, NJ 08831
Phone (609) 409-8381

444 Neptune Blvd
Unit 1A
Neptune, NJ 07753
Phone (609) 860-9111

1648 US Highway 130
North Brunswick, NJ 08902
Phone (609) 860-9111

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1962856583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CENTRE DR STE 203",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311501",
            "telephone_number": "609-860-9311",
            "fax_number": "609-860-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CENTRE DR STE 203",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311501",
            "telephone_number": "609-860-9111",
            "fax_number": "609-860-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-346-7789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Neptune Blvd Unit 1A",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534145",
            "country_code": "US",
            "telephone_number": "609-860-9111",
            "fax_number": "609-860-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLARI",
        "first_name": "MARK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00344900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00344900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

Verify at the official NPI Registry.