Provider Demographics
NPI:1619929874
Name:SAPIENZA, MARK S (MD)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:S
Last Name:SAPIENZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 GRAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4152
Mailing Address - Country:US
Mailing Address - Phone:201-569-7044
Mailing Address - Fax:201-569-1999
Practice Address - Street 1:420 GRAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4152
Practice Address - Country:US
Practice Address - Phone:201-569-7044
Practice Address - Fax:201-569-1999
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2025-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07242400207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3157169OtherAETNA US HEALTHCARE
NJP2664780OtherOXFORD HEALTH PLAN
NJ2K3068OtherHEALTHNET
NJ8875201Medicaid
NJ3V6321OtherEMPIRE HEALTH PLAN
NJ2499403OtherGHI
NJ2K3068OtherHEALTHNET
NJ3157169OtherAETNA US HEALTHCARE