NPIMap

Organization Active NPI

Mark S. Sofair-Fisch, PHD

  • Clinical Psychologist
  • Lawrenceville, NJ
National Provider Identifier
1750413217
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100432500 Issued in NJ
Legal business name
MARK S. SOFAIR-FISCH, PHD
Practice address
2737 Princeton Pike
Lawrenceville, NJ 08648-3220
Phone
(609) 883-2577
Fax
(609) 883-2092
NPI assigned
Mar 11, 2007
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Mark S. Sofair-Fisch, PHDNPI 1255370953
Title
Psychologist
Phone
(973) 669-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC000043500 NJ
Clinical Psychologist 103TC0700X 35S100432500 NJ Primary

Addresses

Primary practice location

2737 Princeton Pike
Lawrenceville, NJ 08648-3220

Mailing address

5 Ellis St
West Orange, NJ 07052-3612
Phone (973) 669-3333

Other identifiers 1

IdentifierTypeStateIssuer
469819000OtherNJMAGELLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1750413217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELLIS ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523612",
            "telephone_number": "973-669-3333",
            "fax_number": "973-669-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 PRINCETON PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483220",
            "telephone_number": "609-883-2577",
            "fax_number": "609-883-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. SOFAIR-FISCH, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SOFAIR-FISCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-669-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC000043500",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100432500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "469819000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.