DR. MARK JAY MULLEN (MD) – Internal Medicine Physician, NPI 1679581870

DR. MARK JAY MULLEN (MD) is a healthcare provider. based in Phila, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD0402071E (PA). The NPI Number for DR. MARK JAY MULLEN (MD) is 1679581870

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK JAY MULLEN (MD)
NPI
1679581870
Phone
(215) 856-1010
Address
PO BOX 8500 # 4081
Enumeration Date
3 August 2006
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2154361420
Graduation Year
1987 (39 years ago)
PAC ID
4880670199
Group Practice PAC ID
0042109902
Professional Enrollment ID
I20111020000460
Address ID
PA189541527RI910XXPIKE400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for DR. MARK JAY MULLEN (MD)

  • PO BOX 8500 # 4081

    PHILA, PA 191784081

    Phone: (215) 856-1010

    Type: Mailing

  • 1648 HUNTINGDON PIKE

    MEDICAL STAFF OFFICE 1ST FLR

    MEADOWBROOK, PA 190468001

    Phone: (215) 938-3450

    Fax: (215) 938-3829

    Type: Mailing

  • 23, Bustleton Pike, Feasterville-Trevose, Lower Southampton Township, Bucks County, Pennsylvania, 19053, United States

    SUITE 200

    FEASTERVILLE TREVOSE, PA 190536446

    Phone: (215) 464-0770

    Fax: (267) 579-0720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Exact Sciences Corporation ($37).

Total Amount

$199

General + Research + Ownership

Payments

11

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-20

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
I20111020000460IInternal MedicinePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes412215$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit185185$0
99213Established patient office or other outpatient visit, 20-29 minutes161120$0
G0008Administration of influenza virus vaccine6161$0
90662Influenza vaccine split virus, preservative free5959$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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Provider's Procedures

DR. MARK JAY MULLEN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle3131

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: 0042109902View full group profile
NameSpecialtyState
Internal Medicine, Hematology/Oncology, Hospitalist, HospitalistVT
-PA
General SurgeryPA
-PA
-PA
Orthopedic Surgery, Hand Surgery, Physical Medicine And RehabilitationPA
-PA
Internal MedicinePA
-PA
General SurgeryPA

Reviews

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Frequently asked questions

Where can patients find DR. MARK JAY MULLEN (MD)'s NPI?
You can confirm DR. MARK JAY MULLEN (MD) with NPI 1679581870; it appears in the national provider directory.
Is DR. MARK JAY MULLEN (MD)'s NPI currently valid?
The extract we use shows DR. MARK JAY MULLEN (MD) as active.
What field does DR. MARK JAY MULLEN (MD) work in?
You can think of DR. MARK JAY MULLEN (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARK JAY MULLEN (MD)?
The page summarizes Phila, Pennsylvania for DR. MARK JAY MULLEN (MD); expand the address list for detail.
Is DR. MARK JAY MULLEN (MD) a real provider?
This page reflects official NPPES data for NPI 1679581870. Always confirm identity and privileges with the practice and licensing boards.

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