MARK L KAVANAGH MD NPI 1558514380

NPI Information

  • NPI: 1558514380
  • Provider Name: MARK L KAVANAGH, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 61 BEAVERBROOK RD
    SUITE 201
    LINCOLN PARK, NJ
    ZIP 07035
  • Phone: (973) 686-9292

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NPI Details

Mark L Kavanagh, MD is an orthopaedic surgery in Lincoln Park, NJ with 23 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Mark L Kavanagh, MD NPI is 1558514380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

61 BEAVERBROOK RD
SUITE 201
LINCOLN PARK, NJ
ZIP 07035-748
Phone: (973) 686-9292
Fax: (973) 686-9294

The NPI 1558514380 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 10/24/2008 and was last updated on 1/2/2014.

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
1207XX0005XOrthopaedic SurgerySports Medicine0101245447VIRGINIANo
2207X00000XOrthopaedic Surgery25MA08991900NEW 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
11558514380OTHERVIRGINIABCBS
2020667S82MEDICARE PINVIRGINIA
31558514380MEDICAIDVIRGINIA

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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