DR. MARK O MCCOLLUM M.D.
NPI 1790880755
Surgery - Pediatric Surgery in New Brunswick, NJ

Active since September 14, 2006PECOS Enrolled
1 ROBERT WOOD JOHNSON PL, W WING FL 3 STE W3234, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark O Mccollum M.d. NPPES

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

DR. MARK O MCCOLLUM M.D. (NPI 1790880755) is an individual pediatric surgery provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10025200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790880755
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. MARK O MCCOLLUMCredential: M.D.
Location Address1 ROBERT WOOD JOHNSON PL, W WING FL 3 STE W3234New Brunswick, NJ 08901
Mailing Address1 Perkins SqAkron, OH 44308-1063 · (330) 543-6060 · Fax (330) 543-8463
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
NPI 1790880755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses Licensed in NJ · 25MA10025200 Licensed in OH · 35.081904
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 25MA10025200 (NJ)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark O Mccollum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

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 Mccollum's NPI number?

The NPI number for Mark Mccollum is 1790880755. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Mark Mccollum located?

Mark Mccollum practices at 1 Robert Wood Johnson Pl W Wing Fl 3 Ste W3234, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Mark Mccollum's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mark Mccollum enrolled in Medicare?

Yes. Mark Mccollum is registered in the Medicare PECOS enrollment system.

What insurance does Mark Mccollum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mark Mccollum 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 Mccollum was last updated on April 15, 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.