Individual provider Active NPI

Mark J Soffer, MD

  • Interventional Cardiology Physician
  • Robbinsville, NJ
National Provider Identifier
1497722060
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA04412300 Issued in NJ
Practice address
1 Union St
Suite 101
Robbinsville, NJ 08691-4183
Phone
(609) 890-6677
Fax
(609) 890-7292
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD024817E PA
Interventional Cardiology Physician 207RI0011X 25MA04412300 NJ Primary

Addresses

Primary practice location

1 Union St
Suite 101
Robbinsville, NJ 08691-4183

Mailing address

104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone (215) 860-3344

Other identifiers 7

IdentifierTypeStateIssuer
0766704MedicaidNJ
0300863000OtherPAKEYSTONE
060045609OtherNJRAILROAD MEDICARE
0054974000OtherNJAMERIHEALTH
0766704MedicaidPA
423703OtherPAPENNSYLVANIA BLUE SHIELD
033779OtherNJPENNSYLVANIA BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.soffer.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040923000011 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 1850389826 Reassigns benefits to 1 organization
I20090810000271 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1850389826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04412300NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Apr 1, 2021 Accepting new patients
Comprehensive Cardiology Consultants, PA PastSince Jan 1, 1998 Accepting new patients
Methodist Associates in Healthcare, Inc. Past Accepting new patients
Trenton Heart Group Interventional Cardiology Past Accepting new patients

Locations

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1 Union St
Robbinsville, NJ 08691
Phone (609) 509-4090

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

104 Pheasant Run
Ste 128
Newtown, PA 18940
Phone 21586033441218

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1497722060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 128",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION ST",
            "address_2": "SUITE 101",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914183",
            "telephone_number": "609-890-6677",
            "fax_number": "609-890-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFER",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD024817E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA04412300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0300863000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060045609",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0054974000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766704",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "423703",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "033779",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.soffer.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Union St",
            "address_2": "Suite 101",
            "city": "Robbinsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086914183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

Verify at the official NPI Registry.