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

Mr. Mark Coogan

Individual provider Adult Health Nurse Practitioner · NPI 1629437272

Mr. Mark Coogan is a Nurse Practitioner in New Brunswick, New Jersey. Qualified in 2015, 11 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

195 Little Albany St
New Brunswick, NJ 08903-2681
Phone: (732) 235-2465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00636500 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00636500 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ00636500 (NJ)

Record details

NPI number1629437272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2016
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address195 Little Albany St., New Brunswick, NJ 08903-2681

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Brunswick