Active NPI
Sophia Wunchi Chen, DO
- Pediatrics Physician
- Newark, NJ
National Provider Identifier
1083846901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB08241300
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (862) 812-1930
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB08241300 | NJ | Primary |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
150 Bergen St
Newark, NJ 07103-2496
Phone (862) 812-1930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | schen19470@direct.uhnj.org | Direct | University Hospital |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Pediatrics | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients |
Locations
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
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.
-
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1083846901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "862-812-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "862-812-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SOPHIA",
"middle_name": "WUNCHI",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08241300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "schen19470@direct.uhnj.org",
"affiliation": "Y",
"endpointDescription": "EPIC",
"affiliationName": "University Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "150 Bergen St",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071032496",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.