MARK A MERLIN (DO) – Emergency Medicine Physician, NPI 1093725822

MARK A MERLIN (DO) is a healthcare provider. based in Berkeley heights, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 282169 (NY). The NPI Number for MARK A MERLIN (DO) is 1093725822

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK A MERLIN (DO)
NPI
1093725822
Phone
(908) 273-4300
Address
1 DIAMOND HILL RD
Enumeration Date
8 August 2006
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736500542
Graduation Year
1994 (32 years ago)
PAC ID
9335241629
Group Practice PAC ID
3173049962
Professional Enrollment ID
I20070216000024
Address ID
NJ070394915LI70XXXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:19State licenses:6Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for MARK A MERLIN (DO)

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Type: Mailing

  • 1 ROBERT WOOD JOHNSON PL

    DEPARTMENT OF EMERGENCY MEDICINE

    NEW BRUNSWICK, NJ 089011928

    Phone: (732) 828-3000

    Type: Location

  • 1 Robert Wood Johnson Pl

    Department of Emergency Medicine

    New Brunswick, NJ 089011928

    Phone: (732) 828-3000

    Type: Location

  • 9961 Baldwin Pl

    El Monte, CA 917312203

    Phone: (813) 416-6438

    Fax: (877) 282-9624

    Type: Location

  • 154 Hansen Access Rd

    King Of Prussia, PA 194062404

    Phone: (866) 349-4230

    Fax: (877) 282-9624

    Type: Location

  • 55 Lane Rd Ste 300

    Fairfield, NJ 070041015

    Phone: (866) 349-4230

    Fax: (877) 282-9624

    Type: Location

  • 35 W 35th St Fl 6

    New York, NY 100012205

    Phone: (866) 349-4230

    Fax: (877) 282-9624

    Type: Location

  • 70 S Orange Ave Ste 235

    Livingston, NJ 070394915

    Phone: (973) 607-4911

    Fax: (973) 607-4911

    Type: Location

  • 70 S ORANGE AVE STE 235

    LIVINGSTON, NJ 070394915

    Phone: (973) 607-4911

    Fax: (973) 607-4911

    Type: Mailing

  • 399 ROUTE 10

    EAST HANOVER, NJ 07936

    Phone: (908) 577-9808

    Fax: (908) 577-9809

    Type: Location

  • 66, Gilbert Street West, Tinton Falls, Monmouth County, New Jersey, 07701, United States

    2ND FLOOR

    TINTON FALLS, NJ 077014947

    Phone: (732) 212-0051

    Fax: (732) 212-0713

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070216000024IEmergency MedicineNJTBD
I20211230001217IEmergency MedicinePATBD
I20221109002104IEmergency MedicineCATBD
I20230811002760IEmergency MedicineNYTBD
I20260116000455IEmergency MedicineILTBD
I20260226000095IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes179172$0
99203New patient office or other outpatient visit, 30-44 minutes6767$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5252$0
99214Established patient office or other outpatient visit, 30-39 minutes3636$0
99285Emergency department visit with high level of medical decision making3535$0
View full utilization report →

Insurance plans in this area (ZIP 07922)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173049962View full group profile
NameSpecialtyState
P O D I A T R YNJ
Family Practice, Internal MedicineNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK A MERLIN (DO)?
MARK A MERLIN (DO) — NPI 1093725822 — is the standard way to identify this listing.
Is MARK A MERLIN (DO) listed as active for patients and plans?
The listing shows MARK A MERLIN (DO) as active in the NPI system.
What taxonomy line describes MARK A MERLIN (DO)?
For research purposes, treat MARK A MERLIN (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARK A MERLIN (DO) on a map?
Expect Berkeley Heights, New Jersey as a primary anchor for MARK A MERLIN (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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