MR. MARK GERARD HAVLICEK A.P.N.
NPI 1033708052
Nurse Practitioner in Oakland, NJ
About Mr. Mark Gerard Havlicek A.p.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK GERARD HAVLICEK A.P.N. (NPI 1033708052) is an individual nurse practitioner in Oakland, New Jersey, licensed in New Jersey (26NJ01014700) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark Gerard Havlicek A.p.n. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Havlicek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edgewater, NJ 07020
- Reassigned Medicare billing, New Jersey enrollment
- 144 clinicians in this Medicare group
Bound Brook, NJ 08805
- Reassigned Medicare billing, New Jersey enrollment
- 125 clinicians in this Medicare group
Hazlet, NJ 07730
- Reassigned Medicare billing, New Jersey enrollment
- 142 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, NJ 07436
OAKLAND, NJ 07436
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 Havlicek's NPI number?
The NPI number for Mark Havlicek is 1033708052. It was assigned to this individual provider in the NPPES registry on January 14, 2021.
Where is Mark Havlicek located?
Mark Havlicek practices at 43 Yawpo Ave, Oakland, NJ 07436. The listed phone number is (201) 337-0066.
What is Mark Havlicek's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mark Havlicek enrolled in Medicare?
Yes. Mark Havlicek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mark Havlicek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Havlicek reassigns Medicare benefits to 3 organizations: Prohealth Urgent Care Medicine Of New Jersey LLP (Edgewater, NJ), Jersey Irish Medical (Bound Brook, NJ) and Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ). Each 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 Mark Havlicek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Havlicek was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Mark Gerard Havlicek, A.P.N. · NPI 1033708052
Nurse Practitioner physician in Oakland, New Jersey. Individual provider, active in the CMS NPPES registry since January 14, 2021.
## Identity
- **NPI:** 1033708052 (Entity type: Individual)
- **Enumerated:** January 14, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ01014700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 43 YAWPO AVE, Oakland, NJ 07436-2714
- **Phone:** (201) 337-0066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prohealth Urgent Care Medicine Of New Jersey LLP (NPI 1477927754, Edgewater, NJ); Jersey Irish Medical (NPI 1144575739, Bound Brook, NJ); Immediate Care Medical Walk-In Of Hazlet, PA (NPI 1245595313, Hazlet, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033708052) · Data from the CMS NPPES public registry.