MARK LISTER, M.D., PA
NPI 1003059536
Ophthalmology in Newark, NJ

Active since April 14, 2009
495 N 13TH ST, NEWARK, NJ 07107(973) 844-1340(973) 450-5964 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Lister, M.d., Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LISTER, M.D., PA (NPI 1003059536) is a healthcare organization registered as an ophthalmology in Newark, New Jersey and active in the NPI registry since April 2009. The organization lists Mark Anthony Lister, Owner, as its authorized official.

NPPES Registry Identity

NPI1003059536
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARK LISTER, M.D., PA
Location Address495 N 13TH STNewark, NJ 07107-1317
Mailing Address495 N 13th StNewark, NJ 07107-1317 · (973) 844-1340 · Fax (973) 450-5964
Fax(973) 450-5964
Organization SubpartNo
Authorized OfficialMark Anthony ListerOwner · (973) 844-1340
Enumeration DateApril 14, 2009
Last NPPES UpdateApril 20, 2009
✔ NPI 1003059536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA04176200
Definition
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.
495 N 13TH ST, Newark, NJ 07107

Other Identifiers 3

Medicare PIN536525NJ
Medicare UPINB14523NJ
Medicaid1515608NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Lister, M.d., Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark Lister, M.D., PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1043258353
1 CLARA MAASS DR
Belleville, NJ 07109
(973) 844-1340
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Lister, M.D., PA's NPI number?

The NPI number for Mark Lister, M.D., PA is 1003059536. It was assigned to this organization in the NPPES registry on April 14, 2009.

Where is Mark Lister, M.D., PA located?

Mark Lister, M.D., PA is located at 495 N 13th St, Newark, NJ 07107. The listed phone number is (973) 844-1340.

What is Mark Lister, M.D., PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Lister, M.D., PA enrolled in Medicare?

Yes. Mark Lister, M.D., PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark Lister, M.D., PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Mark Lister, M.D., PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark Lister, M.D., PA was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.