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MR. MARK COOGAN
NPI 1629437272
Nurse Practitioner in New Brunswick, NJ

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment
195 LITTLE ALBANY ST., NEW BRUNSWICK, NJ 08903(732) 235-2465 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Feb 10, 2017, Feb 10, 2016 (3 updates tracked since 2016).

About Mr. Mark Coogan NPPES

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

MR. MARK COOGAN (NPI 1629437272) is an individual nurse practitioner in New Brunswick, New Jersey, licensed in New Jersey (26NJ00636500) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629437272
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MARK COOGAN
Location Address195 LITTLE ALBANY ST.New Brunswick, NJ 08903-2681
Mailing Address195 Little Albany St.New Brunswick, NJ 08903-2681 · (732) 235-2465
Phone(732) 235-2465
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 10, 2016
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1629437272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00636500
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ00636500 (NJ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00636500 (NJ)
195 LITTLE ALBANY ST., New Brunswick, NJ 08903
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Accepted Insurance

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

Mr. Mark Coogan 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 ID6800172354
PECOS Enrollment IDI20170417001672
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 Reassignment

Medicare enrollment records show Mark Coogan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Scleroderma Program
Same address
Pediatric Hematology-Oncology
195 LITTLE ALBANY ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1104842285 (732) 235-6455

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 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.
142 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services22 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%36 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%100 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%100 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%100 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SARAH NASHED MS, CGC
Genetic Counselor, MS
195 LITTLE ALBANY ST., SUITE 1135
NEW BRUNSWICK, NJ 08903
Middlesex County (732) 235-7110
BIREN P SARAIYA M.D.
Internal Medicine (Medical Oncology)
195 LITTLE ALBANY ST., THE CANCER INSTITUTE OF NEW JERSEY RM 5542
NEW BRUNSWICK, NJ 08903
Middlesex County (732) 235-6777

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 Coogan's NPI number?

The NPI number for Mark Coogan is 1629437272. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Mark Coogan located?

Mark Coogan practices at 195 Little Albany St., New Brunswick, NJ 08903. The listed phone number is (732) 235-2465.

What is Mark Coogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Coogan enrolled in Medicare?

Yes. Mark Coogan 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 organization bills Medicare for Mark Coogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Coogan reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ). The 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 Coogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Coogan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mark Coogan 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 Coogan affiliated with any hospitals?

According to CMS data, Mark Coogan is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Mark Coogan was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.