Individual provider Active NPI

Mark Robert Sorensen, MD

  • Cardiovascular Disease Physician
  • Cape May Court House, NJ
National Provider Identifier
1053383877
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04613500 Issued in NJ
Practice address
211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone
(609) 463-0800
Fax
(609) 463-0957
NPI assigned
Feb 6, 2006
Last updated
May 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA04613500 NJ Primary
Cardiovascular Disease Physician 207RC0000X MD029027E PA

Addresses

Primary practice location

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264

Mailing address

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

Other identifiers 11

IdentifierTypeStateIssuer
1053383877OtherNJNPI
816543OtherNJUNITED HEALTHCARE
F13850OtherNJHELATH NET GROUP#
207767OtherNJUSFHP
0108895000OtherNJAMERIHEALTH
1437121027OtherNJNPI -GROUP#
1615602MedicaidNJ
000500928OtherNJHIGHMARK BS
6004105MedicaidNJ
986151OtherNJHEALTH NET
P382636OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000791 NJ Practitioner - Cardiovascular Disease (Cardiology) 1456303767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Johns Hopkins University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029027EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey PC Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 1, 2010 Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1053383877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102264",
            "telephone_number": "609-463-0800",
            "fax_number": "609-463-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102264",
            "telephone_number": "609-463-0800",
            "fax_number": "609-463-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04613500",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD029027E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053383877",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "816543",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATH NET GROUP#",
            "identifier": "F13850",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USFHP",
            "identifier": "207767",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0108895000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -GROUP#",
            "identifier": "1437121027",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1615602",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "000500928",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "986151",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P382636",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.