Sophia Yae, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB12219100 Issued in NJ

Practice address

504 Valley Rd Ste 203
Wayne, NJ 07470-3534

Phone

(973) 686-0700

NPI assigned

Apr 15, 2019

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Premier Spine and Sports Medicine PCGroup PAC ID 9931343555, 2 clinicians

University Spine Center PCGroup PAC ID 6002986072, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHJCCA

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

• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment Care Compare group NPD
• University Spine Center, P.C.

  • Specialist
  • Wayne, NJ
  • NPI 1023224029
  Medicare reassignment Care Compare group NPD
• Premier Spine and Sports Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Fort Lee, NJ
  • NPI 1811236672
  Medicare reassignment Care Compare group
• Virginia I-Spine Physicians, P.C

  • Physical Medicine & Rehabilitation Physician
  • Richmond, VA
  • NPI 1184913584
  Medicare reassignment NPD
• University Spine Center PC

  • Specialist
  • New York, NY
  • NPI 1528294428
  NPD
• Anesthesia Solutions PLLC

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
  • NPI 1215402169
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1154984334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD STE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-686-0700",
            "fax_number": "973-686-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD STE 203",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-686-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAE",
        "first_name": "SOPHIA",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB12219100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Woyce, LPC
• Craig Wright, M.D.
• Yihui Yvonne Wu, M.D.
• Bailey Wyrostek, ATC
• Xbody Health & Wellness PA
• Tarek Yakoubi
• Sherry Yang, MD
• Songul Yapici, DMD
• Nabil M Yazgi, MD, PA
• Denise Yeatman, M.A.,CCC-SLP

• Physical Medicine & Rehabilitation Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.