Active NPI
Mark Sinclair, LAC
- Counselor
- Ramsey, NJ
National Provider Identifier
1073382917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00765300
- Practice address
- 79 N Franklin Tpke Ste 107
Ramsey, NJ 07446-2029 - Phone
- (201) 749-1750
- NPI assigned
- Dec 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00765300 | NJ | Primary |
Addresses
Primary practice location
79 N Franklin Tpke Ste 107
Ramsey, NJ 07446-2029
Mailing address
79 N Franklin Tpke Ste 107
Ramsey, NJ 07446-2029
Phone (201) 749-1750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00765300 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1073382917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 N FRANKLIN TPKE STE 107",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462029",
"telephone_number": "201-749-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 N FRANKLIN TPKE STE 107",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462029",
"telephone_number": "201-749-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "MARK",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00765300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.