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MARK LISTER M.D. PA NPI 1003059536


NPI Information

NPI: 1003059536
Provider Name: MARK LISTER, M.D., PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
495 N 13TH ST
NEWARK, NJ
ZIP 07107
Phone: (973) 844-1340
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MARK LISTER, M.D., PA is an ophthalmology in Newark, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MARK LISTER, M.D., PA NPI is 1003059536. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

495 N 13TH ST
NEWARK, NJ
ZIP 07107-317
Phone: (973) 844-1340
Fax: (973) 450-5964

The provider's authorized official is Mark Anthony Lister .
The authorized official title is Owner and has the following contact phone number (973) 844-1340.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 4/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology25MA04176200NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1536525MEDICARE PINNEW JERSEY
2B14523MEDICARE UPINNEW JERSEY
31515608MEDICAIDNEW JERSEY

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

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