Healthcare Provider Details

I. General information

NPI: 1215304993
Provider Name (Legal Business Name): LAUREN SOROKA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MADISON AVE STE 400
MORRISTOWN NJ
07960-7361
US

IV. Provider business mailing address

111 MADISON AVE
MORRISTOWN NJ
07960-6097
US

V. Phone/Fax

Practice location:
  • Phone: 973-984-0404
  • Fax: 973-290-2360
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00373200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: