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MARK STEPHEN LICCINI DO
NPI 1861562779
Anesthesiology in Voorhees, NJ

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
93 COOPER RD STE 100, VOORHEES, NJ 08043(856) 770-1920(856) 770-1925 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2024, Jan 6, 2022 (2 updates tracked since 2022).

About Mark Stephen Liccini Do NPPES

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

MARK STEPHEN LICCINI DO (NPI 1861562779) is an individual anesthesiology provider in Voorhees, New Jersey, licensed in New Jersey (25MB 07743500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and maintains a secondary practice location in Marlton.

NPPES Registry Identity

NPI1861562779
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMARK STEPHEN LICCINICredential: DO
Location Address93 COOPER RD STE 100Voorhees, NJ 08043-4910
Mailing Address31 Wimbledon WayMarlton, NJ 08053-2087 · (215) 205-4231
Phone(856) 770-1920
Fax(856) 770-1925
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1861562779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NJ · 25MB 07743500
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
93 COOPER RD STE 100, Voorhees, NJ 08043
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Secondary Practice Location 1

Location 131 Wimbledon WayMarlton, NJ 08053-2087 · Phone (215) 205-4231

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 Stephen Liccini Do 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 ID9436111994
PECOS Enrollment IDI20041028000176
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

5

Medicare enrollment records show Mark Liccini reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Jersey Gastroenterology PA
0.1 mi
Anesthesiology
93 COOPER RD, SUITE 100
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1356514335 (856) 770-1920
Virtua Medical Group, PA
0.9 mi
Urgent Care
158 ROUTE 73 STE B
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1912457755 (856) 247-7230
Methodist Associates In Healthcare Of New Jersey, P.C.
9.6 mi
Neurological Surgery
445 HURFFVILLE CROSSKEYS RD STE B16
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 182 clinicians in this Medicare group
NPI 1568078095 (856) 256-7591
Ultracare Anesthesia Partners LLC
14 mi
Anesthesiology
7 N CHRISTOPHER COLUMBUS BLVD STE 400
Philadelphia, PA 19106
  • Reassigned Medicare billing, New Jersey enrollment
  • 60 clinicians in this Medicare group
NPI 1407236110 (844) 448-5872
Atlanticare Regional Medical Center
32 mi
Anesthesiology
65 JIMIE LEEDS ROAD
Pomona, NJ 08240
  • Reassigned Medicare billing, New Jersey enrollment
  • 123 clinicians in this Medicare group
NPI 1710930102 (609) 652-3444

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 10

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
295 services291 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
140 services140 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
106 services101 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
77 services77 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services22 patients
Anesthesia for other procedure on neck area (1 year or older) 00320
Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden 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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.46
Promoting Interoperability100
Improvement Activities40
Cost59.01

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%31 patients5/55-star benchmark: 100%
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.

ROBERT HAWK CRNA
Nurse Anesthetist, Certified Registered
93 COOPER RD STE 100
VOORHEES, NJ 08043
Camden County (856) 770-1920
VOORHEES NJ ENDOSCOPY ASC LLC
Clinic/Center (Ambulatory Surgical)
93 COOPER RD STE 100
VOORHEES, NJ 08043
Camden County (856) 770-1920

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 Liccini's NPI number?

The NPI number for Mark Liccini is 1861562779. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mark Liccini located?

Mark Liccini practices at 93 Cooper Rd Ste 100, Voorhees, NJ 08043. The listed phone number is (856) 770-1920.

What is Mark Liccini's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mark Liccini enrolled in Medicare?

Yes. Mark Liccini 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 Liccini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Liccini reassigns Medicare benefits to 5 organizations: South Jersey Gastroenterology PA (Voorhees, NJ), Virtua Medical Group, PA (Voorhees, NJ), Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ), Ultracare Anesthesia Partners LLC (Philadelphia, PA) and Atlanticare Regional Medical Center (Pomona, 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 Liccini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Liccini affiliated with any hospitals?

According to CMS data, Mark Liccini is affiliated with Atlanticare Regional Medical Center - City Campus and Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Mark Liccini was last updated on February 5, 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.