Healthcare Provider Details

I. General information

NPI: 1144245507
Provider Name (Legal Business Name): ASHER LIPNER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SILVERTAIL CT
JACKSON NJ
08527-4777
US

IV. Provider business mailing address

2 SILVERTAIL CT
JACKSON NJ
08527-4777
US

V. Phone/Fax

Practice location:
  • Phone: 347-535-7863
  • Fax:
Mailing address:
  • Phone: 347-535-7863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35S100705600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: