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MARK PERNICE D.O. NPI 1811940620


NPI Information

NPI: 1811940620
Provider Name: MARK PERNICE, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2106 NEW RD
SUITE D1
LINWOOD, NJ
ZIP 08221
Phone: (609) 927-9545
Get Directions

Mark Pernice, D.O. is a family medicine in Linwood, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Pernice, D.O. NPI is 1811940620. 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:

2106 NEW RD
SUITE D1
LINWOOD, NJ
ZIP 08221-050
Phone: (609) 927-9545
Fax: (609) 927-2920

The NPI 1811940620 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 5/19/2006 and was last updated on 7/19/2011.


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
1207Q00000XFamily Medicine25MB04100800NEW 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
12013207MEDICAIDNEW JERSEY
2NJ41008OTHERNEW JERSEYMUTUAL OF OMAHA
30010640OTHERNEW JERSEYUS HEALTHCARE
4156502908OTHERNEW JERSEYUNITED HEALTHCARE
5439526MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE NJ
6080009150MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYRAILROAD MEDICARE
70100759001OTHERNEW JERSEYAMERIHEALTH
8F09371OTHERNEW JERSEYHEALTHNET
9E06191MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.