Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark L Kavanagh, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1558514380

Mark L Kavanagh, MD is an Orthopedic Surgery in Lincoln Park, New Jersey. Graduated from Eastern Virginia Medical School in 2003, 23 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Virginia.

Years since qualifying
23
Trained at
Eastern Virginia Medical School
Licensed in
NJ, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

61 Beaverbrook Rd Ste 201
Lincoln Park, NJ 07035-1748
Phone: (973) 686-9292
Fax: (973) 686-9294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 25MA08991900 (NJ)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 0101245447 (VA)

Record details

NPI number1558514380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2008
Last updated in NPPESJanuary 2, 2014
Mailing address61 Beaverbrook Rd, Suite 201, Lincoln Park, NJ 07035-1748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services