MARK J PELLO M.D. NPI 1073602546

NPI Information

NPI: 1073602546
Provider Name: MARK J PELLO, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3 COOPER PLZ RM 411
COOPER SURGICAL ASSOCIATES
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-3412
Get Directions

Mark J Pello, M.D. is a colon rectal surgery in Camden, NJ. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Mark J Pello, M.D. NPI is 1073602546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 COOPER PLZ RM 411
COOPER SURGICAL ASSOCIATES
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-3412
Fax: (856) 365-1180

The NPI 1073602546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208C00000X	Colon & Rectal Surgery		MA32132	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P531590	OTHER	NEW JERSEY	OXFORD HEALTH PLAN
2	C57363	MEDICARE UPIN	NEW JERSEY
3	0097397000	OTHER	NEW JERSEY	AMERIHEALTH/KESYTONE/IBC
4	1242926	OTHER	NEW JERSEY	UNITED HEALTHCARE
5	400785 AN0	MEDICARE PIN	NEW JERSEY
6	CA0000068	OTHER	NEW JERSEY	AMERICHOICE
7	3K6211	OTHER	NEW JERSEY	HEALTHNET
8	400785	OTHER	NEW JERSEY	AMERIHEALTH PPO/PA BS
9	6710804	OTHER	NEW JERSEY	CIGNA
10	16735	OTHER	NEW JERSEY	AETNA
11	22502	OTHER	NEW JERSEY	UNIVERSITY HEALTH PLAN
12	1328701	MEDICAID	NEW JERSEY
13	1010875	OTHER	NEW JERSEY	HORIZON NJ HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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