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DR. MARK EDWARD WEINSTEIN M.D.
NPI 1528274040
Allergy & Immunology in Belleville, NJ

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
5 FRANKLIN AVE STE 102, BELLEVILLE, NJ 07109(973) 759-5842(973) 759-0403 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark Edward Weinstein M.d. NPPES

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

DR. MARK EDWARD WEINSTEIN M.D. (NPI 1528274040) is an individual allergy & immunology provider in Belleville, New Jersey, licensed in New Jersey (25MA08190500) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528274040
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. MARK EDWARD WEINSTEINCredential: M.D.
Location Address5 FRANKLIN AVE STE 102Belleville, NJ 07109-3504
Mailing AddressPo Box 95000 Lock Box 7685Philadelphia, PA 19195-0001 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 759-5842
Fax(973) 759-0403
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1528274040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NJ · 25MA08190500
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 25MA08190500 (NJ)
5 FRANKLIN AVE STE 102, Belleville, NJ 07109
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Secondary Practice Locations 2

Location 15 Franklin Ave Ste 602Belleville, NJ 07109-3566 · Phone (973) 969-3466 · Fax (973) 969-3467
Location 21005 Clifton Ave Ste 102Clifton, NJ 07013-3523 · Phone (973) 773-7400 · Fax (973) 779-5224

Accepted Insurance

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

Dr. Mark Edward Weinstein 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 ID6305979485
PECOS Enrollment IDI20100727000835
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

4

Medicare enrollment records show Mark Weinstein reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hudson-Essex Allergy LLC
1.4 mi
Allergy & Immunology
5 FRANKLIN AVE, SUITE 102
Belleville, NJ 07109
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1770970428 (973) 759-5842
Allergy Consultants, PA
5.1 mi
Specialist
197 BLOOMFIELD AVE
Verona, NJ 07044
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1669416962 (973) 857-0330
Atlantic Health Partners
17 mi
Emergency Medicine
465 SOUTH ST STE 200
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
NPI 1144720459 (973) 630-8980
Optum Medical Care Of New Jersey PC
24 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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.
32 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
19 services16 patients

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims45 services$18.42 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims45 services$35.86 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers13 claims3,120 services$35.25 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims25 services$309.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MITTAL PATEL APN
Nurse Practitioner (Family)
5 FRANKLIN AVE STE 102
BELLEVILLE, NJ 07109
Essex County (973) 759-5842
JESSICA CHAO APN
Nurse Practitioner
5 FRANKLIN AVE STE 102
BELLEVILLE, NJ 07109
Essex County (973) 759-5842

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 Weinstein's NPI number?

The NPI number for Mark Weinstein is 1528274040. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Mark Weinstein located?

Mark Weinstein practices at 5 Franklin Ave Ste 102, Belleville, NJ 07109. The listed phone number is (973) 759-5842.

What is Mark Weinstein's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mark Weinstein enrolled in Medicare?

Yes. Mark Weinstein 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 Weinstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Weinstein reassigns Medicare benefits to 4 organizations: Hudson-Essex Allergy LLC (Belleville, NJ), Allergy Consultants, PA (Verona, NJ), Atlantic Health Partners (Morristown, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Weinstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Weinstein accept?

Health plans from Ambetter Health and Oscar Health list Mark Weinstein 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.

When was this NPI record last updated?

The NPPES record for Mark Weinstein was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.