Individual provider Active NPI

Sofya Shlafman, AUD., CCC-A. FAAA

  • Audiologist
  • Hillsborough, NJ
National Provider Identifier
1083873053
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00103300 Issued in NJ
Practice address
311 Courtyard Dr
Hillsborough, NJ 08844-4248
Phone
(908) 526-6990
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00103300 NJ Primary
Audiologist 231H00000X 002173-1 NY

Addresses

Primary practice location

311 Courtyard Dr
Hillsborough, NJ 08844-4248

Mailing address

352 Garretson Ave
Staten Island, NY 10305-2329
Phone (917) 841-2910

Other practice location 1

352 Garretson Ave
Staten Island, NY 10305-2329
Phone (917) 841-2910

Other identifiers 3

IdentifierTypeStateIssuer
1083873053MedicaidNJ
03727144..MedicaidNY
03727144MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081216000215 NY Practitioner - Qualified Audiologist 5890857494 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY
I20190429002549 NJ Practitioner - Qualified Audiologist 5890857494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00103300NJMDAudiologist
002173-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Jun 20, 2023 Accepting new patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jan 13, 2022 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jan 13, 2022 Accepting new patients
Wise Audiology PC Current Accepting new patients
Ear, Nose & Throat Associates of New York,P.C. PastSince Oct 29, 2016 Accepting new patients

Locations

4 Progress St
Ste A7
Edison, NJ 08820
Phone (908) 222-1845

138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140

311 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 526-6990

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

9811 Queens Blvd
Ste 1D
Rego Park, NY 11374
Phone (718) 228-1850

1855 Richmond Ave
Ste 101
Staten Island, NY 10314
Phone (718) 285-6309

Organizations & group practices 6

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1083873053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 GARRETSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052329",
            "telephone_number": "917-841-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444248",
            "telephone_number": "908-526-6990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "352 Garretson Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103052329",
            "country_code": "US",
            "telephone_number": "917-841-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHLAFMAN",
        "first_name": "SOFYA",
        "credential": "AUD., CCC-A. FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00103300",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002173-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083873053",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03727144..",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03727144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.