Mark Lichtenberg, MD

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

Legal business name

MARK LICHTENBERG, MD

Practice address

55 Morris Ave
Springfield, NJ 07081-1426

Phone

(201) 926-6151

Fax

(509) 463-9780

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jason P Cervera

Title

Manager

Phone

(201) 926-6151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1518260512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "201-926-6151",
            "fax_number": "509-463-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "201-926-6151",
            "fax_number": "509-463-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LICHTENBERG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "CERVERA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-926-6151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Makoc, DDS
• Josephine Celi Mamaril, APN, C
• Bhrijal Mandania, NP
• Dahlia Mann, PH.D.
• Ali Gaber Mansour, M.D.
• Joseph James Marmora, M.D.
• Jeannett Marte, MD
• Susan D. Marx, PSY.D.
• Adam Matter, LAC, NCC
• Laura Matunas

• Dermatology Physician in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.