Active NPI
Sophia Sanders
- Licensed Practical Nurse
- Rutherford, NJ
National Provider Identifier
1124525233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 276780
- Practice address
- 284 Park Ave Unit 2
Rutherford, NJ 07070-2328 - Phone
- (646) 943-2304
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 276780 | NY | Primary |
Addresses
Primary practice location
284 Park Ave Unit 2
Rutherford, NJ 07070-2328
Mailing address
127 W 25TH St
New York, NY 10001-7207
Phone (212) 533-3281
Other practice location 1
284 Park Ave
Rutherford, NJ 07070-2328
Phone (646) 943-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276780 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Past | Accepting new patients | |
| NYU Lutheran Medical Center | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1831549559
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1538111653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1124525233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017207",
"telephone_number": "212-533-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 PARK AVE UNIT 2",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702328",
"telephone_number": "646-943-2304"
}
],
"practiceLocations": [
{
"address_1": "284 Park Ave",
"address_purpose": "LOCATION",
"city": "Rutherford",
"state": "NJ",
"postal_code": "070702328",
"country_code": "US",
"telephone_number": "646-943-2304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "276780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.