MARK HAUSDORFF (M.D.) – Anesthesiology Physician, NPI 1093876310

MARK HAUSDORFF (M.D.) is a healthcare provider. based in Florham park, New Jersey. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. MA06468800 (NJ). The NPI Number for MARK HAUSDORFF (M.D.) is 1093876310

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK HAUSDORFF (M.D.)
NPI
1093876310
Phone
Not provided
Address
25B VREELAND RD
Enumeration Date
12 December 2006
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
9735335094
Graduation Year
1985 (41 years ago)
PAC ID
6507993409
Group Practice PAC ID
0042112500
Professional Enrollment ID
I20110412000783
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARK HAUSDORFF (M.D.)

  • Vreeland Road, Florham Park, Morris County, New Jersey, 07932, United States

    PO BOX 0037

    FLORHAM PARK, NJ 079321900

    Phone:

    Mailing address matches the actual address.

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: 2011-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110412000783IAnesthesiologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07932)

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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: 0042112500View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK HAUSDORFF (M.D.)?
MARK HAUSDORFF (M.D.) — NPI 1093876310 — is the standard way to identify this listing.
Does CMS list MARK HAUSDORFF (M.D.) as active?
Yes — MARK HAUSDORFF (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes MARK HAUSDORFF (M.D.)?
For research purposes, treat MARK HAUSDORFF (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MARK HAUSDORFF (M.D.) list a practice location?
Patients near Florham Park, New Jersey may find MARK HAUSDORFF (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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