MARK KAPLAN
NPI 1043226012
Specialist in Englewood, NJ
NPI Status: Active since July 31, 2006
Contact Information
350 ENGLE ST
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 894-3636
Fax: (201) 541-2188
- Individual
- Male
- Specialist
- PECOS Enrolled
- Medicare Quality Reporting
About MARK KAPLAN
This page provides the complete NPI Profile along with additional information for Mark Kaplan, a provider established in Englewood, New Jersey with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1043226012 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 25MP00072900 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1043226012
- Provider Name
- MARK KAPLAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 ENGLE ST ENGLEWOOD, NJ 07631
- Location Phone
- (201) 894-3636
- Location Fax
- (201) 541-2188
- Mailing Address
- 350 ENGLE ST ENGLEWOOD, NJ 07631
- Mailing Phone
- (201) 894-3636
- Mailing Fax
- (201) 541-2188
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 10-08-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 25MP00072900
- License State
- NJ
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222909327 | OTHER (01) | NJ | TAX IDENTIFICATION # |
| Q17959 | MEDICARE UPIN (02) | NJ |
Medicare Participation & PECOS Enrollment Status
Mark Kaplan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for MARK KAPLAN
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043226012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043226012, enumerated as an "individual" on July 31, 2006.
The provider is located at 350 ENGLE ST ENGLEWOOD, NJ 07631 and the phone number is (201) 894-3636.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
