Individual provider Active NPI

Laura Susan Sofield II, RN, APN-C

  • Adult Health Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1083684625
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00047400 Issued in NJ
Practice address
1205 Highway 35 N
Ocean, NJ 07712-4051
Phone
(732) 663-0099
Fax
(732) 663-1359
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00047400 NJ Primary

Addresses

Primary practice location

1205 Highway 35 N
Ocean, NJ 07712-4051

Mailing address

1205 Highway 35 N
Ocean, NJ 07712-4051
Phone (732) 663-0099

Other identifiers 2

IdentifierTypeStateIssuer
0059781MedicaidNJ
083937QJVOtherNJMEDICARE-ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000890 NJ Practitioner - Nurse Practitioner 0749241289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00047400NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Geriatric Association CurrentSince Aug 1, 2004 Accepting new patients
Barnabas Health Medical Group, PC Past Accepting new patients

Locations

1205 State Route 35
Ocean, NJ 07712
Phone (732) 663-0099

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1083684625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 35 N",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124051",
            "telephone_number": "732-663-0099",
            "fax_number": "732-663-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 35 N",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124051",
            "telephone_number": "732-663-0099",
            "fax_number": "732-663-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFIELD",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "credential": "RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00047400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059781",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-ID TYPE UNSPECIFIED",
            "identifier": "083937QJV",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.