Active NPI
Jeffrey Stanley Soffer, LCSW
- Clinical Social Worker
- Middletown, NJ
National Provider Identifier
1417014416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC 08388
- Practice address
- 407 April Way
Middletown, NJ 07748-6510 - Phone
- (201) 894-8318
- Fax
- (201) 871-4775
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC 08388 | NJ | Primary |
Addresses
Primary practice location
407 April Way
Middletown, NJ 07748-6510
Mailing address
407 April Way
Middletown, NJ 07748-6510
Phone (201) 894-8318
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC 08388 | Other | NJ | NJ LICENSE |
| P536670 | Other | NJ | OXFORD INS PROVIDER # |
| R 014757 | Other | NY | LCSW NEW YORK LICENSE |
| 221726712 | Other | NJ | GROUP PRACTICE TAX ID |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050406000435 | NJ | Practitioner - Clinical Social Worker | 0042267569 | Practice locations: Middletown, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
407 April Way
Middletown, NJ 07748-6510
Phone (201) 894-8318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC 08388 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irby Spine Care PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Englewood, NJ
- NPI 1245443779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702771200000",
"number": "1417014416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 APRIL WAY",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077486510",
"telephone_number": "201-894-8318",
"fax_number": "201-871-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 APRIL WAY",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077486510",
"telephone_number": "201-894-8318",
"fax_number": "201-871-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFFER",
"first_name": "JEFFREY",
"middle_name": "STANLEY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2023-12-17",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC 08388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "SC 08388",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INS PROVIDER #",
"identifier": "P536670",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW NEW YORK LICENSE",
"identifier": "R 014757",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PRACTICE TAX ID",
"identifier": "221726712",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.