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MARK JOSEPH BRESCIA M.D.
NPI 1154537017
Specialist in Hoboken, NJ

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
1131 WASHINGTON ST, HOBOKEN, NJ 07030(201) 659-7700(201) 659-7701 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Joseph Brescia M.d. NPPES

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

MARK JOSEPH BRESCIA M.D. (NPI 1154537017) is an individual specialist in Hoboken, New Jersey, licensed in New Jersey (25MA05799960) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1154537017
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK JOSEPH BRESCIACredential: M.D.
Location Address1131 WASHINGTON STHoboken, NJ 07030-5390
Mailing Address1131 Washington StHoboken, NJ 07030-5390 · (201) 659-7700
Phone(201) 659-7700
Fax(201) 659-7701
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMay 15, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1154537017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA05799960
Definition
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.
1131 WASHINGTON ST, Hoboken, NJ 07030
Open in Google Maps ↗

Other Identifiers 2

OtherD05713300NJ · Cds
Other25MA05799960NJ · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Mark Joseph Brescia M.d. 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.

PECOS PAC ID8123296969
PECOS Enrollment IDI20110721000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Brescia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden State Healthcare Associates, LLC
7.3 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Medical Associates Of Englewood, PC
11 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Hackensack Meridian Health Medical Group - Specialty Care PC
29 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA DALBERTI-BRESCIA M.D.
Specialist
1131 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 659-7700
BRESCIA & MIGLIACCIO MD PC
Obstetrics & Gynecology
1131 WASHINGTON ST, D'ALBERTI MEDICAL OFFICE
HOBOKEN, NJ 07030
Hudson County (201) 659-7700
THOMAS ANGELO MIGLIACCIO M.D.
Specialist
1131 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 659-7700

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 Brescia's NPI number?

The NPI number for Mark Brescia is 1154537017. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Mark Brescia located?

Mark Brescia practices at 1131 Washington St, Hoboken, NJ 07030. The listed phone number is (201) 659-7700.

What is Mark Brescia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Brescia enrolled in Medicare?

Yes. Mark Brescia 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 Brescia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Brescia reassigns Medicare benefits to 3 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ), Medical Associates Of Englewood, PC (Englewood, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Brescia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Brescia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mark Brescia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Brescia affiliated with any hospitals?

According to CMS data, Mark Brescia is affiliated with Hackensack University Medical Center, Englewood Hospital And Medical Center and Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Brescia was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.