MARK TOLSMA APN
NPI 1902588700
Nurse Practitioner - Family in Upper Saddle River, NJ

Active since August 02, 2023PECOS Enrolled
2 PARK WAY, UPPER SADDLE RIVER, NJ 07458(201) 882-7526 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark Tolsma Apn NPPES

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

MARK TOLSMA APN (NPI 1902588700) is an individual family provider in Upper Saddle River, New Jersey, licensed in New Jersey (26NJ14890200) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902588700
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK TOLSMACredential: APN
Location Address2 PARK WAYUpper Saddle River, NJ 07458-2345
Mailing Address46 School StNorth Haledon, NJ 07508-2529 · (551) 697-4209
Sole ProprietorYes
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1902588700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ14890200
2 PARK WAY, Upper Saddle River, NJ 07458

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Tolsma Apn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Tolsma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2 PARKWAY # 1B
Upper Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
Nephrology
140 E RIDGEWOOD AVE STE 415
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 58 clinicians in this Medicare group

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 17

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
208 services193 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
136 services131 patients
Red blood cell concentration measurement 85014
Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
136 services131 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
123 services120 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
99 services91 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
97 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07458 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.

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.

Physician Assistant (Medical)
2 PARK WAY
UPPER SADDLE RIVER, NJ 07458
Physician Assistant
2 PARK WAY
UPPER SADDLE RIVER, NJ 07458

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 Tolsma's NPI number?

The NPI number for Mark Tolsma is 1902588700. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Mark Tolsma located?

Mark Tolsma practices at 2 Park Way, Upper Saddle River, NJ 07458. The listed phone number is (201) 882-7526.

What is Mark Tolsma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mark Tolsma enrolled in Medicare?

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

Which organizations bill Medicare for Mark Tolsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tolsma reassigns Medicare benefits to 2 organizations: Dispatch Health Medical PC (Upper Saddle River, NJ) and Monogram Health Professional Services Of New Jersey LLC (Paramus, 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 Tolsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Tolsma was last updated on August 2, 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.