MARK BERMANMDPA NPI 1578867917

NPI Information

  • NPI: 1578867917
  • Provider Name: MARK BERMAN,MD,PA
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 211 ESSEX ST
    SUITE 402
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 489-8250

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NPI Details

MARK BERMAN,MD,PA is a sports medicine orthopaedic surgery in Hackensack, NJ. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. MARK BERMAN,MD,PA NPI is 1578867917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

211 ESSEX ST
SUITE 402
HACKENSACK, NJ
ZIP 07601-231
Phone: (201) 489-8250
Fax: (201) 489-2933

The provider's authorized official is Mark Berman .
The authorized official title is Orthopedic Surgeon and has the following contact phone number (201) 489-8250.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/30/2010.

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 Medicine25MA04662200NEW 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
10301809MEDICAIDNEW JERSEY
2A60926MEDICARE UPINNEW JERSEY
3409335MEDICARE PINNEW 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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