DR. BENJAMIN MARK M.D. NPI 1093704199

NPI Information

  • NPI: 1093704199
  • Provider Name: DR. BENJAMIN MARK, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 279 3RD AVE
    SUITE 301
    LONG BRANCH, NJ
    ZIP 07740
  • Phone: (732) 229-3737

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NPI Details

DR. Benjamin Mark, M.D. is a specialist in Long Branch, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Benjamin Mark, M.D. NPI is 1093704199. 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:

279 3RD AVE
SUITE 301
LONG BRANCH, NJ
ZIP 07740-205
Phone: (732) 229-3737
Fax: (732) 229-5757

The enumeration date for this NPI number is 10/20/2005 and was last updated on 7/9/2007.

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
1174400000XSpecialistMA42033NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1461828MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE PROVIDER ID
21134906MEDICAIDNEW JERSEY
3D06709MEDICARE UPINNEW 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: 11/21/2025

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