MARK PATRICK FULLENKAMP (M.D.) – Anesthesiology Physician, NPI 1528089414
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,667 ANESTHESIOLOGY in NJ
Provider Addresses for MARK PATRICK FULLENKAMP (M.D.)
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 089011928
Phone: (732) 937-8841
Fax: (732) 418-8492
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)
CMS reports 2 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Ambu Inc. ($34).
Total Amount
$61
General + Research + Ownership
Payments
2
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ambu Inc. | $34 |
| Masimo Corporation | $27 |
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: 2007-10-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071001000441 | I | Anesthesiology | NJ | TBD |
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.
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 08901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| A N E S T H E S I O L O G Y | NJ | |
| - | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Certified Registered Nurse Anesthetist (Crna) | NJ |
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