Mark Anthony Diehl, PA-C
Physician Assistant in East Hanover, NJ. Individual provider (NPI-1).
NPI number1982204939
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1982204939
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Anthony Diehl
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2020
- Certification date
- Apr 23, 2026
- Last updated
- Apr 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00586300 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 25MP00586300 | NJ | |
| 363A00000X | Physician Assistant | – | NJ |
Practice location
120 Eagle Rock Ave Ste 154East Hanover, NJ 07936-3168
Phone 201-447-4772
Mailing address
1501 Route 10 Apt 230Parsippany, NJ 07054-4554
Phone 908-894-4011
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