MARK LICHTENBERG, MD (NPI# 1518260512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518260512 |
| Entity Type | Organization |
| Organization Name | MARK LICHTENBERG, MD |
| Practice Address |
55 Morris Ave Springfield NJ 07081-1426 |
| Practice Telephone | 2019266151 |
| Practice Fax Number | 5094639780 |
| Mailing Telephone | 2019266151 |
| Mailing Fax Number | 5094639780 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | MR. JASON P CERVERA (MANAGER) |
| Authorized Official Telephone | 2019266151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
| Street Address |
55 MORRIS AVE |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295668 | Daniel Joseph Preston | Internal Medicine | 55 Morris Ave, Suite 300, Springfield, NJ 07081-1426 | 2006-02-19 |
| 1215262092 | Michael Andrew Farris | Psychologist | 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 | 2009-10-12 |
| 1053549907 | Diane Chazen, LLC | Internal Medicine | 55 Morris Ave, Suite 216, Springfield, NJ 07081-1426 | 2009-06-30 |
| 1649303553 | Leslie John Williams | Psychologist | 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 | 2007-03-13 |
| 1457454266 | Mark Steven Lichtenberg | Specialist | 55 Morris Ave, Springfield, NJ 07081-1426 | 2006-09-07 |
| 1699702019 | Mark R Schoenfeld | Anesthesiology | 55 Morris Ave, Suite 204, Springfield, NJ 07081-1426 | 2006-06-28 |
| 1982643045 | Jose J. Pinto | Obstetrics & Gynecology | 55 Morris Ave, Suite 204, Springfield, NJ 07081-1426 | 2006-06-05 |
| 1336190560 | Diane Robin Chazen | Internal Medicine | 55 Morris Ave, Suite 216, Springfield, NJ 07081-1426 | 2006-05-12 |
| 1770545501 | Uthra Kodiyalam | Internal Medicine | 55 Morris Ave, Suite 300, Springfield, NJ 07081-1426 | 2006-04-05 |
| 1356301568 | Malcolm Guy Coblentz | Surgery | 55 Morris Ave, Suite 304, Springfield, NJ 07081-1426 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710252283 | Donald Olshansky | Dermatology | 18 Holly Tree Ln, Rumson, NJ 07760-1951 | 2012-03-17 |
| 1326291139 | Philip Joseph Lopresti | Dermatology | 550 Norwood Rd, Mount Laurel, NJ 08054-2817 | 2008-10-24 |
| 1982840898 | Angela Eftychiadis | Dermatology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2008-12-23 |
| 1194961219 | Yiqui Zhang | Dermatology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2008-12-18 |
| 1891976197 | Anna V. Kopec, Md | Dermatology | 730 Kennedy Blvd, Bayonne, NJ 07002-1838 | 2007-11-15 |
| 1720115355 | Joseph M Masessa | Dermatology | 35 Green Pond Rd, Rockaway, NJ 07866-2013 | 2007-02-28 |
| 1437165990 | Advanced Dermatology Mohs & Laser Surgery Center, P.a. | Dermatology | 240 East Grove St, Westfield, NJ 07090 | 2006-08-01 |
| City | SPRINGFIELD |
| Zip Code | 07081 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.